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Jade Wah'oo Grigori
PO Box 4448
Sedona, AZ 86340
Release
Form
I, the undersigned, am a fully
responsible adult (or have written permission from my legal guardian,
attached). I agree to participate fully in all Camp activities,
including physical labor, chores and tasks, unless for reasons stated
below in 'Comments'. I choose to participate in this Camp with the
understanding that I may encounter discomfort, danger, threat to life
and limb and unforeseen circumstances. I release Jade Wah'oo Grigori,
his assistants and other Camp members from all liability, whether real
or imagined. I understand that all monies transferred to Jade Wah'oo
Grigori, or his assistants, is to cover the expenses incurred in the
putting together of this venture, and for the orientation provided by
Jade Wah'oo Grigori and his assistants.
FULL
NAME..................................................................................PHONE............................
FULL
ADDRESS............................................................................EMAIL...........................
DATE OF BIRTH........................
TODAY'S DATE.......................
SIGNATURE..............................................................
Do you have any dietary considerations
to be met? Do you require vegan or vegetarian?
Do you have any medical condition that
may impact your participation? Medications?
Do you have any particular skill which
may be of value in a wilderness setting?
COMMENTS:
