Participant Waiver
Date: __________________________________
Broadwell Center guides present evidence-based practices of stress relief in nature with the limited intent of offering new experiences to participants. Participants are encouraged to seek professional assistance with developing their own practices. No therapist-patient or doctor-patient relationships are intended, offered or created between Broadwell Center participants and staff, guides, volunteers, or contractors. No psychological services such as therapy or counseling are provided by Broadwell Center.
I acknowledge that I know, understand, and appreciate the inherent risks of walking on trails in the woods, walking on grass covered ground, and engaging in gentle and nonstrenuous versions of ancient moving meditation practices such as yoga and tai chi. I know that these risks range from minor injuries such as blisters, muscle strain, and sprains, to significant problems such as joint injuries, to very rare catastrophic events like heart attack, paralysis, or death. Hereby assert that I am voluntarily participating in this Broadwell Center Walk and that I fully assume the inherent risks of such participation.
I know of and voluntarily accept the risk of exposure to and illness from infectious diseases including but not limited to COVID-19 while participating in a Broadwell Center walk. I am not obliged to self-quarantine under current Centers for Disease Control, Ohio, or local guidelines. I affirm that I possess no health problems or physical disabilities (including pregnancy) that would preclude participation in this Broadwell Center Walk. I agree to participate at my own pace and to cease participating if I feel over-exerted, fatigued, or too challenged physically. I will inform Broadwell Center staff of any health problem or disability that arises during the walk. I am not under the influence of alcohol or drugs. I authorize Broadwell Center to arrange for emergency transport for medical care or to secure other medical care if deemed necessary, and to share participant medical information with emergency or medical personnel. I agree to follow Broadwell Center Walk rules and code of conduct. I understand that I am responsible to report all injuries (even minor injuries) or extraordinary hazards so that a record can be made of the injury or hazard. I also acknowledge that I understand that Broadwell Center, its employees, agents, and volunteers, and property owner Ellen H. Foley are not responsible for the safekeeping of my personal property or my vehicle.
In consideration of being permitted to participate in this Broadwell Center Walk, I hereby release (on behalf of myself, my family, my heirs, and my assigns) Broadwell Center, its employees, agents, and volunteers, and property owner Ellen H. Foley from liability for any and all claims involving injury, illness, death, or property loss suffered by me including those which result from the ordinary negligence of Broadwell Center, its employees, agents, and volunteers, and property owner Ellen H. Foley. This includes incidents that occur while participating in this Broadwell Center Walk, while using the facility owned by Ellen H. Foley, or while engaging in any activities incidental thereto, wherever, whenever, or however the same may occur.
I further agree to hold harmless, defend, and indemnify Broadwell Center and property owner Ellen H. Foley from any and all claims (including the ordinary negligence of Broadwell Center, its employees and volunteers, and property owner Ellen H. Foley) arising directly or indirectly from my participation in this Broadwell Center Walk. I further agree to pay all costs and attorneys' fees incurred by Broadwell Center and property owner Ellen H. Foley in investigating and defending a claim brought by me or on my behalf by my heirs, personal representatives, or assigns, or by a third party.
PRINTED NAME SIGNATURE
I have read, understood,
and agree to the above: ____________________________________ ______________________________________