agreement of release & waiver of liability

By filling out the form below, you are electronically completing to the Agreement of Release & Waiver of Liability form for the You.Are.Venus. Retreat at Blue Doors at Tenkiller on May 5-7, 2017

Name *
Name
Contact number *
Contact number
Date of birth *
Date of birth
Emergency contact number
Emergency contact number
Do you have metal plates, epilepsy or are pregnant?
PHOTO RELEASE FORM
During You.Are.Venus. retreats and/or workshops, the organizers & Britt Johnson Photography will often take photos and/or videos of the participants engaging in workshops. Your photos could be used in future publications, multimedia presentations, and on the internet. You will also have access to the photos after the retreat. This document does not apply to the one-on-one session, “Unveiling the Light Within” photo sessions with Britt. By signing below, you are giving You.Are.Venus. & Britt Johnson Photography permission to use photos for the purposes stated above. *
AGREEMENT OF RELEASE & WAIVER OF LIABILITY
Type your first & last name
Check to agree with these terms *
Date *
Date