Angel Valley Release for the James Ray event [bit.ly
Ministries and Spiritual Center
13513 Angel Valley Road, Sedona, AZ 86336
WAIVER/RELEASE OF LIABILITY & MY ACCEPTANCE OF RESPONSIBILITY
PLEASE BRING OR MAIL THIS FORM TO ANGEL VALLEY AT THE ADDRESS ABOVE. DO NOT FAX.
Based upon our Philosophy and Mission Statements, Angel Valley has created the following policy:
We believe that we are all creators of our own reality. Therefore, we ask that you sign this waiver and declare that you take full and complete
responsibility for all your creations while at Angel Valley. If you have any questions, please ask for our Philosophy and Mission Statements.
I, _________________________________________ (print name), agree to abide at all times by the rules, regulations and instructions of and related to Angel Valley
Ministries, Angel Valley Spiritual Center and any other person or entity having an ownership interest in the Angel Valley Properties, Sedona, AZ 86336, along with any
of their employees, agents, officers, directors, staff, volunteers and other parties (including any unaffiliated event planners or organizers) or agents acting by or through
any of them, and any of their successors, heirs, executors and administrators (hereinafter "Angel Valley Parties"), whether in writing or verbal, including but not limited to those provided below. I hereby further affirm and agree to the following:
I agree to waive, release, indemnify and hold harmless and forever release and discharge each of the Angel Valley Parties for any and all claims, demands,
injuries, damages, actions or causes of action, suits, obligations, debts, judgments, remedies, or liabilities of any nature, and from all acts of negligence arising
as a result of, or otherwise in connection with or related to, my stay and participation at Angel Valley, any activities on the Angel Valley properties, or any
activities incidental thereto, wherever, whenever or however the same may occur, which may be made by me, my successors, family, estate, executors, heirs or
I agree that the Angel Valley Parties shall not be responsible for any bodily and or physical/mental injury suffered by me as well as loss/theft of property
during my stay at Angel Valley for any reason whatsoever including participation in activities (on and off the premises), using equipment or receiving services
and treatments, including, without limitation, ordinary negligence on the part of any Angel Valley Party.
I understand that no Angel Valley Party is making any evaluation or recommendation regarding the treatment of any medical condition or my physical or
mental fitness for any program or activity. It is my sole responsibility to consult with a physician to determine if any of these medical condition(s) exist, if my
physical fitness is sufficient and whether such condition(s) pose a direct threat to my health and safety or to the health and safety of others.
I understand that no Angel Valley Party is making any guarantees or representations regarding the results of my voluntary stay at Angel Valley or participation
in any programs directly or indirectly related to Angel Valley, the premises or any Angel Valley Party.
I agree to be vigilant and to take full and complete responsibility for my safety and welfare by, among other things, always using a flashlight at night, by
walking at all times only upon designated paths and trails, and by inspecting my accommodation for, and avoiding as necessary, any animals, insects or reptiles
etc., by using caution when crossing Oak Creek on foot bridges, and by engaging in swimming and water activities only with proper caution and/or
I agree to be responsible for my actions at all times on the Angel Valley properties and in my interactions with Angel Valley Parties. I agree that I assume
risks by entering on the Angel Valley properties and by engaging in any activity with any of the Angel Valley Parties. I acknowledge the receipt of
consideration for effecting this waiver, release and acceptance.
This Waiver, Release of Liability and My Acceptance of Responsibility shall be a continuing waiver, release and my acceptance, applicable to all future
activities and programs, and shall continue to be in full force and effect and applicable to any future visit to the Angel Valley properties and to any future
involvement with any Angel Valley Party of any kind or nature.
I affirm that I have carefully read, fully understand and agree to the contents of this Waiver/Release of Liability and My Acceptance of Responsibility form.
Other than the date, printed name, and signature, providing the other information requested below is optional. You will not receive mailings or other
correspondence from Angel Valley unless you specifically request it and your name will never be sold or given to any other parties.
Print Name here: ________________________________________________ Signature: ____________________________________________________________ _
Street: _________________________________________ City: _____________________________ State: _____________________ Zip: _______________________
Phone: (____) _________________________________ Cell: (____) _________________________ E-mail: ________________________________________________
How did you hear about us?_______________________________________________ Do you want to receive updates and newsletters? Yes: ______ No: ______
Purpose for visit: _____________________________________________________________________________Individual Day Visit or Retreat: ________________
Group Retreat: _____ Group Name: _______________________________________________________Dates of Retreat: ____________________________
Spiritual Warrior Release, Waiver of Liability,
Assumption of Risk, Indemnity Agreement and Disclaimer
PLEASE READ CAREFULLY. BY SIGNING THIS AGREEMENT YOU ARE WAIVING ALL
RIGHTS TO COMPENSATION IN CASE OF INJURY.
In consideration of being permitted to participate in the Spiritual Warrior event (the “Event”) and being granted
access to the premises where the Event will be conducted, and for other good and valuable consideration, I
agree to release, waive and discharge James Ray International, Inc. (the “Company”), its principals, directors,
shareholders, employees, agents, promoters, independent contractors, sponsors, volunteer assistants, associated
coaches, and others associated with the Company, or any of them (the “Releasees”), from all liability to the
undersigned for any loss or damage, and any claim or demands therefore on account of injury to the
undersigned’s person (whether physical, emotional, psychological or otherwise) or property or resulting in death,
whether caused by the negligence of the Releasees or otherwise, relating to the Event, whether sustained during
the Event or not.
I am fully aware and understand that I will be given the opportunity by the Company to participate in physical,
emotional and other activities during the Event, some of which may take place outdoors and/or require the
participants to be isolated from one another and/or include very loud music. These activities may include
physical exercise (e.g., hiking, swimming, yoga, team games), Holotropic Breathwork (a psychotherapeutic
approach believed to allow access to non-ordinary states of consciousness), a sweat lodge ceremony (a
ceremonial sauna involving tight, enclosed spaces and intense temperatures), and/or a Vision Quest (a multi-
day, solitary, personal and spiritual quest in the wilderness without food or water) (the “Activities”). I am fully
aware that I may suffer physical, emotional, financial or other injury during any of the Activities and there is and
can be no assurance or guarantee regarding my health or safety in connection with my participation in the
Activities. I understand that (1) there are inherent risks in the Activities; (2) people may have been seriously
injured by participating in the Activities; and (3) if I voluntarily choose to participate in the Activities, there is a
risk that I may receive injuries requiring medical attention. I fully understand and acknowledge that there is no
requirement whatsoever that I participate in the Activities. If I do choose to participate in any of the Activities, I
affirm that I have not been nor will I be coerced or persuaded in any way to do so and I assume full
responsibility for and risk of any injury sustained in connection with the Activities, whether caused by the
negligence of Releasees or otherwise.
I also understand that the Company does not purport to offer any medical, psychological, therapeutic, religious,
or other professional advice at the Event and that the information provided at the Event is not a substitute for
professional psychological or psychiatric care. I agree that under no circumstances shall Releasees be liable to
me based on my use or misuse of and/or reliance on any information provided to me at the Event. And I
assume full responsibility for and risk of any injury whether personal, financial or otherwise that I might incur
based on such use, misuse and/or reliance thereon.
Similarly, I understand and acknowledge that meals may be served at irregular and varying times and that Event
hours are long and may last from approximately 8:00 a.m. to midnight or later. I also understand and
acknowledge that the temperature indoors and outdoors may vary from very cool to balmy and I assume
responsibility to dress in a manner that can be adapted to the temperature as necessary for my comfort. I also
understand and acknowledge that smoking areas may not be available on the premises of the Event.
I further understand that I may have the opportunity during the Event to engage in discussions regarding
products, businesses or business opportunities with other attendees. I acknowledge that any decision to engage
in a business relationship with an attendee, or with a person or entity in any way relating to my association with
an attendee, is entirely my own choice. Accordingly, I assume full responsibility for any loss, whether financial or
otherwise, that I might incur as a result of any such relationship.
I expressly agree in no event shall the Releasees be liable to me, whether the claim be in tort, contract or
otherwise for any direct, indirect, incidental, consequential, special, exemplary, or punitive damages (even if the
Releasees have been advised of the possibility of such damages).
I agree to indemnify and hold harmless the Releasees and each of them from any loss, liability, damage or cost
they may incur due to my participation in the Event or in any way related to my presence on the premises of the
Event, whether caused by the negligence of the Releasees or otherwise.
I agree not to record by audio, video, photographic or any other means, any portion of the Event. I also
understand that all information and materials provided in connection with the Event, including but not limited to
workbooks and other written materials, trademarks, logos, graphics and images (the “Materials”), are the
copyrighted works and other forms of intellectual property of the Company. I understand and agree that I will
not use the information or Materials provided at the Event for any purpose other than for my personal use and
benefit. I understand and agree that I may not distribute, transmit, display or broadcast in any manner the
information or Materials for any purpose.
I further expressly agree that this agreement is to be governed by the law of the State of California, without
regard to conflicts of law doctrines, and the release, waiver of liability, assumption of risk, indemnity and
disclaimer provided herein are intended to be as broad and inclusive as permitted by the law of the State of
California and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal
force and effect.
I acknowledge that I have been given the opportunity by the Company to ask questions regarding any aspect of
this Release, Waiver, Assumption of Risk, Indemnity Agreement and Disclaimer. By signing below, I
acknowledge that I have carefully and completely read and fully understand all aspects of this agreement and
voluntarily agree to all of the terms and conditions stated in this document and that in doing so I have not relied
upon any oral representations, statements or inducement apart from statements made expressly herein.
Participant’s Name (Printed)
Witness’s Name (Printed)
Witness’s statement: I was present and observed
the above person read and sign this form.
Name of Event:
Date of Event: October 3-8, 2009
Location of Event:
Angel Valley Spiritual Retreat Center
13513 Angel Valley Road, Sedona, AZ 86336
Publicity Release Form
PLEASE READ CAREFULLY.
BY SIGNING THIS FORM YOU ARE WAIVING ALL RIGHTS TO COMPENSATION.
In consideration for the opportunity to participate in and appear at this James Ray International production (the
“Production”), the undersigned (“Participant”) does hereby grant to James Ray International and its affiliated
companies, successors, licensees, distributors and assigns (“JRI”), the unrestricted right to fix Participant’s image,
participation and/or performance, as it appears in the Production, in whole or in part, by any means or method;
and to use Participant’s name, voice, image and/or likeness as it appears in the Event, by any means, in any
form, content or medium, including, without limitation, television, radio, internet, wireless, podcasting, theatrical
and home distribution, sound recording, publishing and merchandising, and in order to advertise, promote or
market JRI and its events.
Participant does hereby forever release and discharge JRI, its officers, directors, employees, agents,
representatives, successors, assigns and licensees ( the “Released Parties”), from any and all actual or potential,
known or unknown, suspected or unsuspected claims, causes of action, liabilities and damages based upon or
arising out of any use of Participant’s name, voice, image likeness, or appearance in or in connection with the
advertising, promotion or marketing of JRI and its events, including, without limitation, any and all claims that
Participant has or may have for defamation, invasion of privacy or violation of the right of publicity, notoriety or
any other claims arising out of or relating to any use by JRI of Participant’s name, voice, likeness or appearance.
This release and the legal relations between the parties shall be governed by and construed in accordance with
the laws of the State of California, without regard to conflicts of law doctrine