THE MAD RAMBLE

Retreat Participation & Liability Waiver

Participant Name: _______________________________________________

Retreat Dates: _________________________________________________

Phone: _________________________________________________________

Email: _________________________________________________________

EMERGENCY CONTACT

Name: __________________________________________________________

Relationship: __________________________________________________

Phone: _________________________________________________________

PARTICIPATION

I understand that I am participating in a private, two-day creative retreat hosted by Maureen Muldoon / The Mad Ramble.

ASSUMPTION OF RISK

I understand that participating in a retreat and staying in a private residence involves ordinary risks associated with travel, residential living, outdoor activities, weather, walking, and participation in creative or other activities.

I voluntarily assume responsibility for my own health, safety, choices, and personal belongings during the retreat.

RELEASE AND HOLD HARMLESS

To the fullest extent permitted by law, I release and agree to hold harmless Maureen Muldoon, The Mad Ramble, and their respective owners, representatives, agents, and affiliates from claims, demands, losses, damages, costs, or expenses arising out of or related to my voluntary participation in the retreat or my stay at the property, including claims arising from the ordinary risks associated with the retreat.

This release does not apply to claims arising from gross negligence, willful misconduct, or any liability that cannot legally be waived or released under applicable law.

PERSONAL RESPONSIBILITY

I agree to use reasonable care for my own safety and well-being throughout the retreat.

I will communicate any relevant physical limitations, allergies, dietary restrictions, or other circumstances that may affect my participation.

I understand that I am responsible for my own medications, health needs, transportation, and personal belongings.

EMERGENCY AUTHORIZATION

In the event of an emergency, I authorize Maureen Muldoon to contact emergency medical services and/or my emergency contact on my behalf.

I understand that I am responsible for my own medical expenses and for maintaining any health insurance or other coverage I deem appropriate.

ACKNOWLEDGMENT

By signing below, I confirm that:

  • I have read and understand this agreement.

  • I am voluntarily participating in this two-day retreat.

  • I understand the nature of the retreat and the ordinary risks associated with participation.

  • I accept responsibility for my own health, safety, choices, and belongings.

  • I have had the opportunity to ask questions before signing.

  • I understand that this agreement is intended to be as broad and inclusive as permitted by applicable law.

Participant Signature: ___________________________________________

Printed Name: _________________________________________________

Date: _________________________________________________________

Host Signature: _________________________________________________

Printed Name: Maureen Muldoon

Date: _________________________________________________________

Print and sign