Acknowledgement
&
Release for Events

The undersigned has expressed intent to attend an Event developed and hosted by LOVEstrong, LLC and Dr. Shelley Leutschaft (the ‘Event’), and in consideration of being admitted to and allowed to participate (‘Participation’) in the Event the undersigned agrees, understands, and acknowledges the conditions cited below.

1) The spiritual work of Dr. Shelley Leutschaft is not a physical or medical treatment. Participation should not be viewed as a substitute for proper medical or mental health care or care provided by the undersigned’s chosen medical or mental health professional. Shelley Leutschaft makes no claim regarding physiological or psychological outcome in connection with Event Participation.

2) Activities at any Event may not be appropriate for everyone and could be harmful to the undersigned depending upon Participants history of known, experienced, and/or diagnosed mental, emotional, or physical health problems. Furthermore, the undersigned accepts onus of responsibility for determining the Event’s appropriateness for Participant’s level of ability, and/or has discussed the appropriateness of Event’s activities with a chosen medical or mental health provider, when appropriate, prior to Participation in the Event.

3) The Participant’s inclusion in the Event is based on the individual’s perception that Participation will not impede or otherwise exacerbate known mental, physical, or emotional conditions. The Participant acknowledges inclusion in Event activities is of the individual’s express decision. The individual warrants and represents to LOVEstrong, LLC and Dr. Shelley Leutschaft that Participant does not have any known emotional, mental, or physical conditions that would hinder Participation and/or cause harm to the undersigned or anyone else in attendance at the Event.

4) The undersigned acknowledges inclusion in Event activities is of the individual’s express decision, and understands that the individual may withdraw from Participation at any time by refraining from Participation in any portion, in part or in whole, of any activity presented at the Event. The undersigned further acknowledges that withdrawal from Participation can be achieved, at any time, by leavening the Event.

5) Participation of the undersigned is permitted by LOVEstrong, LLC and Dr. Shelley Leutschaft, its owners, affiliates, and employees, based on reliance of the undersigned’s assumption of the risks associated with Participation and the undersigned’s willingness to release them from any and all claims or damages arising therefrom.

6) The undersigned understands Events are conducted in large and small group settings and that in said setting the Event facilitator cannot always monitor the undersigned’s physical, emotional, and psychological limits. Therefore, the undersigned acknowledges sole responsibility for assessing the risk any Event activity poses and for choosing a safe course of action.

7) The undersigned acknowledges the Event facilitator may deem it necessary for an individual to cease Participation in an Event activity. In the event this occurs, and the event facilitator requests the individual to discontinue an Event activity, the undersigned will cease and desist all involvement in the activity as determined by Event facilitator.

Use of Likeness and Photography: I understand Dr. Shelley Leutschaft or her representatives may record audio, video, or still images of the Event and its activities and that such recorded audio, video, or still images may be used by LOVEstrong, LLC or Dr. Shelley Leutschaft for informational, educational, and/or promotional purposes to include, and not limited to, use in brochures, flyers, training programs, on-line courses, and other such materials that may be made available in part or whole via written or electronic means.

Recording Devices: The use of recording devices is strictly forbidden during workshops, conferences, keynote speeches, events, or any other Dr. Shelley Leutschaft programs or at such programs sponsored or presented by LOVEstrong, LLC or Dr. Shelley Leutschaft.

Cancellation Policy: Prior to the beginning of any event for which you have pre-registered and cannot attend, please contact LOVEstrong, LLC and Dr. Shelley Leutschaft at (317) 743-5539 to notify of your required absence. LOVEstrong, LLC and Dr. Shelley Leutschaft will work with you utilize the investment fee toward a future Event or to offer a refund.

NOW THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned agrees to accept and assume any and all risks to his/her health and well-being, including any risk of bodily injury or harm, that may arise from Participation whether such risks have been disclosed, and does hereby fully release and forever discharge LOVEstrong, LLC, and Dr. Shelley Leutschaft, its owners, successors, affiliates, assigns, directors, officers, employees, and agents from any and all actions, causes of action, suits, liabilities, losses, damages, claims or expenses whatsoever, in law or in equity, for negligence, battery or otherwise, which the undersigned now has or may hereafter have arising in any way out of the undersigned’s Participation, including, but not limited to, the undersigned’s participation in physical, psychological, or emotional activities which may lead to a period of deep relaxation or meditative state at the Event.

The undersigned attests to reading this release, acknowledges understanding the terms contained herein, and affirms to freely and voluntarily assuming same with expressed intent to be bound by the terms and conditions noted above.