Loading...

Forest Bathing Participant (In-Person or Virtual)

Liability Release and Waiver Form

  • I, the undersigned, in exchange for being permitted to participate in a forest bathing activity or a guided outdoor nature walk, led either in-person or virtually, by Forest Bathing Hawaiʻi LLC (the “Organization"), I hereby represent and agree to the following:
  • I acknowledge that outdoor activities in natural areas may expose me to known and unanticipated risks that could result in potential injury or illness to myself, my property, or a third party. These risks may include exposure to heat, wind, rain, insect bites, slippery or uneven ground, hazardous plants, or my own physical condition. I understand that these risks cannot be eliminated without jeopardizing the essential qualities of the forest bathing experience. I accept and assume all the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.
  • I am in good health and physical condition to participate in the activity. If I have a medical condition or health concern that I think the Organization should be aware of, I will verbally inform them at the beginning of the walk. I acknowledge that it is my sole responsibility to determine if I am capable of participating in the activity.
  • I am solely responsible for my own well-being and safety at all times during the activity. I understand that at any time I may opt to not participate in any part of the activity should I feel is not safe, or simply that I do not want to participate for any reason.
  •  I have provided the Organization with complete and accurate information of myself, my contact information, and my emergency contact information. In the event of my illness or injury, I grant the Organization the full authority to take whatever action it deems warranted under the circumstances regarding my health or safety in connection with my participation in the activity, to include rendering first aid, medication, or medical treatment. This authority shall permit the Organization to contact emergency personnel at its discretion for medical services and treatment at my sole expense.
  • I acknowledge and agree that the Organization is not responsible for lost, stolen, or damaged personal property. I further acknowledge that I should keep any valuables with me at all times while participating in the activity. I agree that I assume all responsibility for my own property.
  • I grant and convey to the Organization all right, title, and interest in any and all photographic images and video or audio recordings made by the Organization during the activity, to include any royalties, proceeds, or other benefits derived from such photographs or recordings. This includes digital images, which may be posted at the Organization’s website, social media page, or on its promotional materials.
  •  
  • Following the pronouncements above I hereby declare: 

I am fully and personally responsible for my own safety and actions while and during my participation in the activity and I recognize that I may be at risk for injury or illness to myself or others while participating in the activity. With full knowledge of the risks involved, on behalf of myself, my heirs, personal representatives and assigns, I hereby release, waive, discharge the Organization, its members, managers, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me while participating in the activity. 

I further agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to my participation in the activity.

  • By signing below I acknowledge that I have read the foregoing Liability Release and Waiver and understand its contents; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release and Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation; and that I have the authority to sign this Liability Release and Waiver and acknowledge that it will be binding on my heirs, representatives, successors and assigns. If I am under 18 years of age, my parent or legal guardian must sign on my behalf.

 

COVID-19 Forest Bathing Participant

Liability Release and Waiver Form

The World Health Organization has declared and, as of May 2023, continues to consider the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to spread by means of person-to-person contact and respiratory droplets, the U.S. government has set recommendations, guidelines, and some prohibitions which Forest Bathing Hawaiʻi LLC (the "Organization") adheres to and complies with.

  • In consideration of my participation, the undersigned acknowledges and agrees that: 
  • I am aware of the existence of risk on my physical appearance to the venue and my participation to the activity of the Organization that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to serious illness or death. 
  • I have not experienced symptoms of fever, fatigue, difficulty in breathing, or dry cough or exhibited any other symptoms related to COVID-19 or any communicable disease within the last 15 days. 
  • I have not been, nor any member(s) of my household, diagnosed to be infected by the COVID-19 virus within the last 15 days.
  • I have not been, nor any member(s) of my household, in contact with someone who has tested positive for COVID-19 within the last 15 days.

 

  • Following the pronouncements above I hereby declare: 

I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I may be in any case be at risk of contracting COVID-19. With full knowledge of the risks involved, on behalf of myself, my heirs, personal representatives and assigns, I hereby release, waive, discharge the Organization, its members, managers, officers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. 

I further agree to indemnify, defend, and hold harmless the Organization from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19. 

  • By signing below I acknowledge that I have read the foregoing Liability Release and Waiver and understand its contents; that I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release and Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation; and that I have the authority to sign this Liability Release and Waiver and acknowledge that it will be binding on my heirs, representatives, successors and assigns. If I am under 18 years of age, my parent or legal guardian must sign on my behalf.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

 


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
COVID VACCINATION/TEST STATUS
I am fully vaccinated (2 weeks since receiving two doses of an mRNA COVID-19 vaccine from Pfizer-BioNTech or Moderna, or a single dose of Johnson & Johnson's Janssen vaccine).*
Yes
No
I understand that masking is optional and that social distancing (maintaining minimal physical distance of 6 feet from those not in my household) is recommended.*
Yes
No
I will refrain from attending if I am feeling ill on the day of the event (fever, cough, runny nose, fatigue, etc.). Kindly give notice that you will not be attending at least 2 hours in advance of start time.*
Yes
No
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Date of forest bathing walk *

If you would like, please specify your preferred pronouns.
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!