Please print this waiver and bring with you to the Gathering

2011 Winter Solstice Gathering

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