Luminous Awareness Institute

LAI 2-Year Program COVID Liability Waiver & Release

In order to attend the Crystal Module in-person June 17-20, 2021, as part of the LAI3 cohort of the Luminous 2-year program, a liability waiver is required. This essentially asks you to be responsible for your own participation and any risks that may ensue from your choice to come in-person.


This liability waiver and release agreement (“Agreement”) is made between the undersigned participant (“Participant,” “I”, or “you” when passively addressed ) and Luminous Awareness Institute LLC (“Company” or “LAI”), a California limited liability company for in-person participation in the final module of the 2019-2021 or LAI3 2-Year Program (“Program”). This final module of the Program will be held June 17-20, 2021 at Sunrise Ranch (“Venue”), near Loveland, Colorado. Separate waivers and/or agreements may be required by the Venue in order to attend.

Please read and initial the following statements and sign the form to complete your enrollment for the in-person portion of the Crystal Module. 


The Program includes, but is not limited to, activities such as sitting, standing, walking, somatic movement and/or dance, live demonstrations, discussions, lectures and other physical activities (individually, “Activity”; collectively, “Activities”).  I am aware of the potential dangers involved in the Activities and the explicit dangers that may occur through gathering in-person during the Coronavirus/COVID-19 outbreaks. In consideration for being allowed to participate in the Activities of the Program at the final module, I, the Participant, agree to the following terms prior to the start of the Program, to the fullest extent permitted by law:

  1. I hereby release the Company, its respective officers, directors, employees, members, agents, contractors, representatives, sponsors,  volunteers, successors, and assigns (“Released Parties”) from any and all claims, demands, damages, rights of action, or causes of action, arising out of my participation in any of the Activities at the final in-person module of the Program, particularly any risk incurred through possible exposure to Coronavirus/COVID-19.
  2. I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing and masking indoors when not vaccinated.
  3. I further acknowledge that Luminous Awareness Institute, Inc. (LAI), has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19, to comply with best practices as currently understood. 
  4. I understand that LAI is making the best informed decisions possible, in line with local, state and federal regulations, laws, and expectations, in order to offer this in-person module for the Program and allow the greatest number of Participants to attend safely.
  5. I further acknowledge that LAI can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, LAI, Participants, staff, and their families.
  6. I know and understand the scope, nature, and extent of the risks involved in the Activities held in-person when the Coronavirus/COVID-19 outbreak is still occurring. I voluntarily seek services provided by LAI and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19 by attending an event in-person. I acknowledge that I must comply with all set procedures to reduce the risk of spread while attending the module and in preparation for it. I voluntarily, freely and expressly choose to incur all risks associated with any Activity, understanding that those risks may include personal injury, damage to property, and/or death.
  7. I agree that if at any time I exhibit symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell, I will immediately wear a mask, socially isolate, and inform LAI  and its staff immediately. I agree that if I discover I was potentially contagious for COVID-19 during the module I will inform the Luminous Team immediately via for contact-tracing purposes. I understand that my name and information will be kept in confidence but that the cohort will be informed if a student in the group contracted COVID-19. 
  8. I represent and warrant that: (a) I have read this Agreement and understand it; and (b) I am at least 18 years of age, am in good physical and psychological health, and have no physical or psychological defects that might cause me harm during my participation in any Activity.
  9. This Agreement extends and applies to all unknown, unforeseen, unanticipated, and unsuspected injuries, damages, loss, and liability, and the consequences of them, as well as those disclosed or known to exist.  I expressly waive all provisions of any state, federal, local, or territorial law or statute which provides that releases will not extend to claims, demands, injuries, or damages that are unknown or unsuspected to exist at the time to the person executing the release.
  10. I understand and agree to keep confidential the identities and personal information of other participants that I may become aware of through my participation in the Program, including whether they are vaccinated for Coronavirus/COVID-19 or not. I acknowledge that the disclosure of any Confidential Information would cause severe adverse personal, business and financial consequences to the Company and Company Affiliates, as well as other Participants. I agree that during the Program, and at all times thereafter, I will not, directly or indirectly, disclose the Confidential Information to any person or entity without the consent of the Company. 
  11. This Agreement is legally binding upon me and my heirs, estate, assigns, legal guardians, and personal representatives.

I have carefully read this Agreement, including the release and waiver of liability, and fully understand its contents. I freely and voluntarily agree to these terms and conditions. I understand that I would not be able to participate in the in-person final module of the Program without signing this waiver. I assert that my participation and signing is voluntary and that I assume all risks.

At the time of signing, I also attest that:

  I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

  I have not traveled internationally within the last 14 days.

  I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

  I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities following this diagnosis.

  I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I have read, understand, and agree to the above Liability Waiver and Release.

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Signature Certificate
Document name: LAI 2-Year Program COVID Liability Waiver & Release
lock iconUnique Document ID: 2478a4aa6a2025996cc9fa314b75e25ee27728b7
Timestamp Audit
June 14, 2021 6:13 pm PDTLAI 2-Year Program COVID Liability Waiver & Release Uploaded by Jen Medrick - IP
June 15, 2021 10:27 am PDTLAI Coordinator - added by Jen Medrick - as a CC'd Recipient Ip:
June 16, 2021 9:46 pm PDTLAI Coordinator - added by Jen Medrick - as a CC'd Recipient Ip: