I wish to participate in the Mind Mentoring® Retreat (the “Activity”) which includes but not limited to Hiking, Camping, Road Travel, adventure activity offered by Lakshmanan K. (Organization). As a precondition to participating in the Activity, I have read the following Release Agreement (the “Agreement”) and agree to its terms.

Assumption of Risk:

I understand that participating in the Activity entails inherent risks of physical injury, including, but not limited to, the risks described in the Activity Detail Form on the reverse side of this Agreement. I have been given the chance to ask questions concerning the Activity Detail Form, and all such questions have been answered to my satisfaction. Having read this form, I am fully aware of the risks and hazards associated with the Activity, and hereby elect to voluntarily participate in the Activity. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me as a result of participating in the Activity.

Waiver of Third-Party Terms and Conditions:

I agree that this Activity is associated with third party services, co-ordination and support which requires additional forms to be signed by me along with such third-party terms and conditions and hereby I consent to the same. I also agree that the Organization shall not be responsible for any such third-party terms and conditions pursuant to this Activity for which I hereby consent.

Liability Release:

In consideration for the organization allowing me to participate in the Activity, I agree I will not sue the organization and I release the organization and/or its Partners or to any third party associated in organizing this Activity, officers, agents, employees or volunteers from any and all liabilities, claims, demands, actions, causes of actions, costs and expenses of any nature whatsoever arising out of any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me, arising from the Activity or while upon the premises where the Activity is being conducted.

Indemnification:

I hereby unconditionally agree to indemnify and hold harmless the organization and/or its Partners any third party associated in organizing this Activity, officers, agents, employees or volunteers from and against any Injury, loss, liability, damage or costs, including court costs and attorneys’ fees, that the organization may incur arising from my involvement in the Activity. I further hereby agree that neither me nor my legal heirs/family members shall be entitled to make/raise any claim of whatsoever nature and/or of whatsoever quantum against the organization and/or its partners, Officers, Agents, Representatives, Employees, Volunteers etc. in case of said eventuality.

Warranty of Physical Fitness:

I warrant that I am physically fit and in a condition that will allow me to participate fully in the Activity. I maintain medical insurance that covers me for accidents and illnesses while I am participating in this Activity. I understand the organization has not made, nor will make, any investigation into my physical fitness or ability to participate in the Activity, and the organization is relying on my warranty of my physical condition. I assume full responsibility for payment of medical expenses not covered by my insurance incurred as a result of my participation in the Activity.

Emergency Medical Treatment:

I grant the organization permission to authorize emergency medical treatment as it deems appropriate, and agree that such action by the organization shall be subject to the terms of this Agreement. I understand and agree that the organization assumes no responsibility for any injury or damage that might arise out of or in connection with such authorized emergency medical treatment.

Intent:

It is my express intent that this Agreement shall bind the members of my family and spouse (if any), my estate, heirs, administrators, assigns, and personal representatives. I agree that this Agreement and any claim arising from my participation in the Activity shall be construed in accordance with the laws of India, and the jurisdiction of the courts in Chennai, TamilNadu for any lawsuits arising from the Activity or incident to this Agreement. The terms of this Agreement shall be severable, such that if a court of competent jurisdiction holds any term to be illegal or unenforceable, the validity of the remaining portions of shall not be affected thereby.
In signing this Agreement along with the below Annexure (Undertaking from Parents/Guardian for their son/daughter/ ward for participating in Brain Vacation Retreat, I acknowledge that I have read this Agreement and the Annexure, understand it, and agree to be bound by its terms. I further acknowledge that I sign this Agreement voluntarily and I am at least eighteen years of age.

By participating in the Activity I understand I may be exposed to several inherent risks, including but not limited to those listed below:

• Tripping and Falling
• Abrasions, cuts, and contusions
• Sprained ankles and wrists
• Broken wrists
• Dehydration
• Heat Rash
• Heat Exhaustion
• Blisters
• Pulled Muscles
• Twisted Ankles
• Knee Injuries
• Arm Injuries

THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTOOD BEFORE Reserving my spot for the retreat.