SAFM Retreat Participant Agreement (Fall)

I understand I am to be a Client for a retreat event provided by Purpose Inc and several independent contractor employees (“Retreat Workers”) at SAFM and The Wisdom House.

I understand that Purpose Inc promises to provide, on a best-effort basis, the full set of activities planned for this retreat event. I understand that weather, technical difficulty, transportation failure, building malfunction, or any other outcomes, foreseen or unforeseen, may require a change in agenda, schedule, activities, or accommodation. I understand I am fully responsible for the arrangement and cost of my transportation to and from the retreat facility.

I understand that Purpose Inc, Retreat Workers, and The Wisdom House do not assume any responsibility for injuries resulting from my failure to use due caution. I understand Purpose Inc is not responsible for any accidents or injuries to me in transit to/from or during this event. I assume all liabilities for my own well-being and will not hold Purpose Inc or the Retreat Workers or The Wisdom House liable in any event. I understand that the New England area in general is a known tick area, and that I am responsible for associated risk, and any preventative actions I may wish to take. I understand that meals during the retreat will be prepared on a best-effort basis to be absent of gluten- and dairy-containing ingredients, but I understand that The Wisdom House does not operate a gluten/allergen-free facility.

I take full responsibility for deciding my appropriate level of participation in all Retreat activities. Given the limited nature of interaction during this event, I understand that bodywork service providers and exercise facilitators (both are Retreat Workers) are not able to monitor or provide recommendations as to what is appropriate for each individual. I understand that Purpose Inc, Retreat Workers, and The Wisdom House are not responsible for monitoring any medical condition I might have, with or without prior disclosure, including allergies. I understand that the New England area in general is a known tick area, and that I am responsible for associated risk, and any preventative actions I may wish to take. I understand that while participating in retreat events, I could sustain bodily injury and am nevertheless voluntarily agreeing to participate.

I hereby release, indemnify, protect, and hold harmless Purpose Inc, all participating Retreat Workers, and The Wisdom House and all of its employees from any and all claims, demands, personal injuries, costs or expenses, arising out of my participation in this program. I understand I am responsible and liable and will pay The Wisdom House owners upon request for any damages to the retreat center property caused by my misuse, negligence, or damage, inadvertent or otherwise.

I understand the following with regard to cancellations and refunds. All cancellations (regardless of timeframe) will incur a $50 credit card processing fee, minus the total retreat reservation cost. All retreat fees are nonrefundable after September 1st, 2021.

For Non Covid Cancellations the agreed upon cancellation policy as determined by SAFM and agreed upon by Wisdom House will remain in effect. I understand no refund will be available in the event I am unable to participate in any portion of the retreat, unless there are extenuating circumstances that have been presented to, discussed with and approved by the The Wisdom House retreat coordinator. Examples of this include but are not limited to death and/or legitimate family emergency and/or major illness and/or COVID related restrictions. I understand that with SAFM and Wisdom House approval registration can be transferred to another attendee, but you are responsible for locating and coordinating with that potential attendee first.

Cancellations due to Covid-19 would be due to a Federal or State Guideline (either in the state a participant is coming from or in the State of CT where Wisdom House is located- or in the case of International participants in the country a participant may be coming from). In the event of retreat cancellation due to COVID - based on CDC Guidelines, only the Administration Fee will be kept by Wisdom House and the remainder will be returned in full.

I understand my likeness or voice may be captured in retreat photographs or recordings in public areas of the retreat venue, and I give my permission for full, unrestricted use of these materials by Purpose Inc for sharing memories with attendees, marketing, communication, and follow-on program purposes.

I understand that my participation in this event is dependent on agreement with this Release. I have read this agreement thoroughly and have been given the opportunity to ask any questions. I have received and understand the information which was provided.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities recommend practicing social distancing and wearing masks. I further acknowledge that THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ and The Wisdom House have arranged for preventative measures based on guidelines to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ (SAFM) cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, during travel to and from the event, SAFM staff, The Wisdom House staff and my fellow Fall Gathering Retreat attendees.

I voluntarily attend the Fall Gathering Retreat offered by THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ at The Wisdom House and acknowledge that I am increasing my risk of exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending the Fall Gathering Retreat. I further understand that I am under no compulsion to attend the Fall Gathering Retreat and that if I choose to attend, I will attend at my own volition, understanding my personal and unique risks, and that SAFM and/or The Retreat cannot be held responsible for my choices.

I attest that:

• I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
• I have not traveled internationally within the last 14 days.
• I have not traveled to a highly impacted area within the United States of America in the last 14 days.
• I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
• I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.
• I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I agree to follow health and safety measures and protocols as stipulated by the CDC, the State of Connecticut and The Wisdom House. I further accept full responsibility for myself and for communicating with an SAFM team member immediately in the event that I feel unwell either upon arrival or at any time during the retreat.

I understand that temperature checks will be conducted upon arrival and daily during the retreat as a precautionary and proactive measure to ensure the health and safety of fellow retreat guests. I hereby release and agree to hold THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ and THE WISDOM HOUSE harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ and THE WISDOM HOUSE or that may otherwise arise in any way in connection with attending the SAFM Fall Gathering Retreat. I understand that this release discharges THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ and THE WISDOM HOUSE from any liability or claim that I, my heirs, or any personal representatives may have against THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE ™ and THE WISDOM HOUSE with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, attending the SAFM Fall Gathering Retreat at THE WISDOM HOUSE. This liability waiver and release extends to THE SCHOOL OF APPLIED FUNCTIONAL MEDICINE™ and THE WISDOM HOUSE, together with all owners, partners, and employees.