UNBURDEN & ALIGN

Participant Waiver, Release of Liability & Assumption of Risk

I understand that I am voluntarily participating in wellness activities and experiences offered through Unburden & Align at a private farm property. These activities may include, but are not limited to:

  • Somatic movement

  • Yin yoga and guided movement practices

  • Breathwork and meditation

  • Energy healing and relaxation practices

  • Sound healing or guided visualization

  • Emotional release practices

  • Equine-assisted wellness experiences

  • Interaction with horses and other farm animals

  • Outdoor activities on farm property and uneven terrain

I understand that participation in these activities involves inherent risks, including but not limited to:

  • Muscle strain, falls, dizziness, dehydration, or physical injury

  • Emotional release or emotional discomfort

  • Exposure to weather, insects, allergens, mud, uneven ground, fencing, and farm equipment

  • Risks associated with proximity to horses and other animals, including kicking, biting, stepping on feet, sudden movement, or unpredictable animal behavior

  • Exposure to outdoor environmental conditions including ticks, mosquitoes, bees, poison ivy, pollen, and other natural elements commonly found on farm and wooded properties

I understand that horses are large, powerful animals with natural instincts that can make their behavior unpredictable, even when well-trained and carefully supervised.

I acknowledge that spending time outdoors carries the possibility of exposure to insect bites, including ticks and mosquitoes, and I accept responsibility for taking appropriate personal precautions such as protective clothing, tick checks, and insect repellent.

I understand that appropriate clothing and footwear are required while on the farm property. For safety reasons, participants interacting with horses or entering animal areas must wear closed-toe shoes or boots that fully cover the toes. Sandals, flip-flops, slides, or bare feet are not permitted in horse or farm areas.

I knowingly and voluntarily assume all risks associated with participation in these activities and being present on the property.

I affirm that:

  • I am voluntarily participating.

  • I am responsible for listening to my body and honoring my own limits.

  • I am physically, mentally, and emotionally capable of participating.

  • I will disclose any relevant medical conditions, injuries, pregnancy, trauma history, medications, or limitations that could impact participation.

  • I understand these services are holistic wellness offerings and are not a substitute for medical care, mental health treatment, psychotherapy, diagnosis, or emergency services.

  • No specific physical, emotional, energetic, or therapeutic outcome is guaranteed.

I agree to follow all safety instructions given by facilitators regarding horse interaction, movement practices, and farm safety.

I understand that I may stop participation at any time.

Release of Liability

In consideration for being permitted to participate, I release, waive, and hold harmless Unburden & Align, its owner, facilitators, assistants, volunteers, property owners, affiliates, and representatives from any and all claims, liabilities, demands, actions, damages, costs, or expenses arising out of or related to:

  • Participation in wellness activities

  • Interaction with horses or animals

  • Presence on the farm property

  • Physical injury, emotional distress, illness, allergic reaction, property damage, or death

This release applies to the fullest extent permitted by New Jersey law.

Emergency Medical Authorization

In the event of an emergency, I authorize Unburden & Align to obtain emergency medical care on my behalf if deemed necessary. I understand that I am financially responsible for any medical treatment provided.

Media Release (Optional)

Please choose one:

___ I consent to photographs and/or video recordings taken during sessions being used by Unburden & Align for marketing, educational, and promotional purposes.

___ I do NOT consent to photographs or video recordings.

Confidentiality

Group experiences may include personal sharing. While facilitators will encourage confidentiality and respectful participation, confidentiality in group settings cannot be guaranteed.

By signing below, I acknowledge that I have read, understood, and voluntarily agree to this waiver and release of liability.

Participant Name: ____________________________________

Signature: __________________________________________

Date: ______________________________________________

Emergency Contact Name & Phone: _______________________

Participant Age (if under 18): __________________________

Parent/Guardian Signature (if under 18): ________________