Instructions: Sign & Submit Online below or Download & Sign (bring to your scheduled Ceremony )

Stargate Sound Medicine Participation Waiver and Consent Form

Event Name: Stargate Sound Medicine Journeys/Floats/Cacao Ceremonies/Community Potlucks/ workshops/ community collaborations, decompressions, Organization Name: Stargate Sound Medicine

1. Introduction

This Participation Waiver and Consent Form (the "Agreement") is a legal document that must be read carefully and signed by all participants, or their legal guardian if the participant is under the age of 18. By signing this Agreement, you acknowledge and agree to the terms and conditions set forth herein, including the assumption of risks, release of liability, and consent for image and video use.

First name

Last name

I hereby give my consent according to the Terms & Conditions above.

Signature

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