Luminous Awareness Institute

LAI4 Covid / Illness Waiver for 2022-2023 2-Year Program


In order to attend the upcoming in-person module, as part of the LAI4 cohort of the Luminous 2-year program, a COVID / Illness liability waiver is required. This essentially asks you to be responsible for your own participation and any risks or impact that may ensue from your choice to come in-person. You will be asked to sign this waiver before EVERY module as long as appropriate.

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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 modules of the 2022-2023 or LAI4 2-Year Program (“Program”). The modules of the Program will be held either at the Expanding Light / Ananda Village ("Venue") near Nevada City, California OR at Sunrise Ranch (“Venue”) near Loveland, Colorado. Separate waivers and/or agreements may be required by each 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 upcoming module. 

WAIVER OF LIABILITY

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 including exposure to Coronavirus/COVID-19 or other contagious illnesses. 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 or other illnesses.
  2. I acknowledge the contagious nature of the Coronavirus/COVID-19 and other potential illnesses and understand that the CDC and many other public health authorities recommend vaccination.
  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 and other illnesses, 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 or other illnesses. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 or other illnesses 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 or other illnesses 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 coordinator@luminousawareness.com 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 upcoming in-person 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, regardless of whether it might be COVID or not.

  I have NOT traveled internationally in the last 14 days OR if I have traveled internationally within the last 14 days, I have been tested with a negative result since returning and have no symptoms.

  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: LAI4 Covid / Illness Waiver for 2022-2023 2-Year Program
lock iconUnique Document ID: db0350722c443c8d6dc60b6f0e922116653c32c2
Timestamp Audit
March 1, 2022 10:30 pm PDTLAI4 Covid / Illness Waiver for 2022-2023 2-Year Program Uploaded by Jen Medrick - programdir@luminousawareness.com IP 98.38.82.92
March 1, 2022 10:34 pm PDTLAI Coordinator - coordinator@luminousawareness.com added by Jen Medrick - programdir@luminousawareness.com as a CC'd Recipient Ip: 98.38.82.59
March 2, 2022 12:14 pm PDTLAI Coordinator - coordinator@luminousawareness.com added by Jen Medrick - programdir@luminousawareness.com as a CC'd Recipient Ip: 98.38.82.59
March 7, 2022 10:44 pm PDTLAI Coordinator - coordinator@luminousawareness.com added by Jen Medrick - programdir@luminousawareness.com as a CC'd Recipient Ip: 98.38.82.59
September 6, 2022 1:35 pm PDTLAI Coordinator - coordinator@luminousawareness.com added by Jen Medrick - programdir@luminousawareness.com as a CC'd Recipient Ip: 98.38.82.92
May 8, 2023 2:08 pm PDTLAI Coordinator - coordinator@luminousawareness.com added by Jen Medrick - programdir@luminousawareness.com as a CC'd Recipient Ip: 98.38.82.92
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