Full payment with registration is due February 7, 2018. Cancellations
up to February 7, 2018 will receive a 75% refund; between February 8, 2018-February 22, 2018:
60% refund. If we are unable to fill your space, there will be no
refund for cancellations after February 21, 2018, when we confirm attendance
and become financially obligated to the Center. We will confirm your
cancellation refund amount after the retreat.
Waiver of Liability and Authorization for Emergency Medical Treatment
I voluntarily agree to participate in retreat activities, including service positions. If I
have any concern about my ability to safely complete a retreat activity, including a
service position, I will notify the retreat manager immediately. I also realize that
there may be unanticipated risks during such activities. I hereby assume all risk of
injury to me and damage to my property that might be sustained in connection with
activities undertaken on this MAVN retreat.
I understand that MAVN is not expected or able to provide medical and/or
psychological care. I agree that, in the event that a representative of MAVN
determines that I need professional medical or psychological attention, MAVN has
the authority and sole discretion to contact 911 emergency services, and/or to
contact the designated emergency contact person I have indicated below.
Any costs incurred for health services are my responsibility and not the
responsibility of MAVN.
I understand that participation in MAVN retreat activities is at the discretion of the
teacher and MAVN staff at all times. If, in the opinion of these persons, it is
inadvisable for me to continue to participate at the retreat, and I am asked to leave, I
agree to do so promptly.
If I am taking prescription medications of any kind, and I discontinue taking them
during the retreat, I understand that this may be grounds to be asked to leave, and I
agree to do so promptly.
I understand that I must provide the name and contact details of an emergency
contact person in order to attend the retreat, and that I will not be allowed to
participate unless I have done so. MAVN will make every effort to communicate
with this person in the event of an emergency. Therefore, I am listing a person who
can either collect me from the retreat in an emergency, or who can help to make
transportation arrangements if I need to leave the retreat early.
I have read this agreement and fully understand its contents. I sign it of my own
free will. I am of legal age and accept the above disclaimer and authorization.
You must sign with your legal name.