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Please print this waiver
and bring with you to the Gathering
2011 Winter Solstice Gathering
Leeward Oahu
December 13-18, 2011
Waiver of
Liability
Legal Name ______________________________________________
Preferred name ______________________________________________
Phone ___________________ email ____________________
Address ______________________________________________
I agree to hold harmless Fire Tribe
Hawaii, Inc. and the owners and staff of the festival site
of any responsibility for personal injury, or loss or damage to
personal property, incurred by myself or my children during the
Fire Tribe Hawaii Gathering.
The goods and services available from independent merchants
and healing practitioners at the Gathering are not screened or certified
by the Fire Tribe Hawaii, Inc. I will resolve any product or service issues
that might arise directly with the vendor involved.
I acknowledge that I have
been warned to not swim between sunset and sunrise, or when tired. I will only enter the pool when two attentive adults are present outside of the pool.
I understand that no medical personnel or services
will be available at the Gathering. In my best judgment,
I (and my child/ren) do not have any medical conditions that preclude
safe participation in this event.
I understand there may be nudity at the Gathering.
The Gathering's organizers reserve the right to
revoke admission without refund for any individual if necessary
due to dangerous or disruptive behavior, or failure to abide by
the Gathering's policies.
To ensure emotional and psychological
safety for the delicate and intensely private work that takes
place at the Gathering, I promise to maintain
confidentiality and respect the privacy of the Gathering's participants.
I have read the Fire
Tribe Hawaii Gathering Information Packet at http://www.firetribehawaii.org/gathering/infopack.shtml,
and the Cancellation Policy
at http://www.firetribehawaii.org/register/cancellation.shtml
I agree
to arrive to the Gathering by 7 p.m. Friday.
You must print and sign your
legal name.
Name (print) ____________________________
Name(s) of your attending child or children:
________________________________________________________
Signature _______________________ Date
_________
Please print this waiver
and bring with you to the Gathering
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