WAIVER

I _____________________________________________________ ON _____________

With reverence and gratitude…

understand that I am taking this Vision Quest in rural surroundings and natural habitat at my own risk.

I in no way hold the Guardian and/or Organizer of this Vision Quest responsible for the events leading up to or the results of this Vision Quest.

I in no way hold the owners of the property/location of this Vision Quest responsible for accidents and/or acts of God and nature beyond their control and/or the events leading up to or results of this Vision Quest.

I am in no way being coerced or pressured into participating or finishing this Vision Quest. It has been my own decision to take whatever risks with this Quest in order to come to some awakenings regarding the Spirit and my own Spirituality.

Events leading up to and that are the results of this journey are of my own desires and intent for my personal Quest.

I am perfectly aware of the risks involved with an overnight stay outdoors in a natural habitat. I am solely responsible for the events of this Quest whether positive or negative.

Print Name______________________________________ Date__________________

Sign Name_______________________________________

Date of Quest ____________________________________

Quest Location___________________________________

Witness_________________________________________