Peace Walk Liability Waiver and Consent Form
I am aware of the risks of my participation in the Peace Walk organized by Heart Space which may expose me to and result in physical injury or illness and emotional distress. Illnesses may be from but are not limited to communicable diseases such as COVID-19. Injuries and illnesses resulting from the Peace Walk may have serious health consequences including disability and death.
- I acknowledge that I have no physical or mental health condition that would prevent my full participation in the Peace Walk.
- I declare that I understand the nature of the activity and I voluntarily participate with full knowledge that there is risk of personal injury, or death. I agree to assume all risk involved with my participation in the Peace Walk.
- I agree that Heart Space, Dr. Shira Taylor, and Deanna Dion are in no way responsible for my health and safety or the safekeeping of my personal belongings while I participate in the Peace Walk.
I acknowledge that I have read and understand the terms of this waiver and I accept any and all risks having to do with my participation in the Peace Walk. I accept full responsibility and entirely release Heart Space and their associates, employees, volunteers, contractors from any and all liabilities, claims, demands, and actions. I consent and agree to the conditions as outlined above.