Event Registration
Tonight’s activities embrace spiritual ritual to stretch our capacity for peace, love, and oneness in our lives. Participation is voluntary.
Agreements
I understand that my participation in the ceremony is completely voluntary, under my own freewill and at my own risk. I also understand that no assurance guaranteeing my safety is being made, and I agree to hold Room to Grow and Maria Nomikos, facilitators, organizers and property owners completely harmless of all liability. By filling out this form, I agree to assume full responsibility for any injuries, both physical and mental, that I sustain by participating in this Experience. My signature below indicates that I have read and that I understand everything contained in this waiver; that I agree not to bring any suit for damages, regardless of whether or not negligence can be demonstrated; and that I am releasing all parties associated with the Firewalk, Sweat Lodge, or any other activity from damages whatsoever.
Name
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First Name
Middle Name
Last Name
E-mail
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Phone Number
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Area Code
Phone Number
Date
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Month
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Day
Year
Date
I have read and agree to the terms of this event.
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