Chozen-ji Live-In Intensive
Waiver, & Personal/Emergency Information Form
Waiver and Release Form
In consideration of acceptance of this application for registration to participate in training and related activities, I for myself, my heirs, assignees, personal representatives, and anyone entitled to act on my behalf, hereby waive and forever release any and all claims, demands and actions for injuries, damages, losses, expenses and fees that I have or may have against Daihonzan Chozen-ji/International Zen Dojo, The Institute of Zen Studies and their respective officers, directors, employees, agents, assignees, sponsors and volunteers arising out of my participation in training or related activities, and/or arising out of any act or failure to act by Daihonzan Chozen-ji/International Zen Dojo, The Institute of Zen Studies and their respective officers, directors, employees, agents, assignees, sponsors and volunteers
I assume the risk of any and all such injuries, damages, losses, expenses and fees, and hereby agree to indemnify, defend and hold harmless Daihonzan Chozen-ji/International Zen Dojo, The Institute of Zen Studies and their respective officers, directors, employees, agents, assignees, sponsors and volunteers from any and all such injuries, damages, losses, expenses and fees.
I am physically fit and I have been advised by a physician that I may participate in all activities required in training and related activities.
I have read this Release. I understand all of its terms and execute it voluntarily and with full understanding of its significance.
If the applicant is a minor, the parent or guardian submitting this online form executes this Release on behalf of said minor.