Protecting Your Journey: Understand the Terms & Release of Liability Event Participating In(Required)Participant's Name(Required) First Last Birth Date(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Home PhoneCell PhoneEmail(Required) EMERGENCY CONTACT NAME AND TELEPHONE NUMBERSName(Required) First Last Relationship(Required)Home PhoneCell PhoneIF "A" UNAVAILABLE, ALTERNATE EMERGENCY CONTACT NAME AND TELEPHONE NUMBERSName(Required) First Last Relationship(Required)Home PhoneCell PhoneNature of the SDJ EVENTSBy signing this waiver, you agree that you may be giving up legal rights and remedies available to yourself. Read and complete this waiver carefully. If you have questions, contact an attorney. I understand that the nature of the program is both social and spiritual in nature and is open to everyone. The program will take place at a variety of locations worldwide throughout the year. Nature of Risks: I understand that voluntarily traveling to and attending the program may involve certain risks beyond the reasonable control of its staff, director, volunteers, and agents in connection with the various retreats and trips, including but not limited to accidents, emergencies, exposure to reckless conduct of other persons, and/or negligence of Retreat Centers, Hotels et al., disclaim any and all responsibility for any such risks. Waiver of Liability/Hold Harmless: By signing this liability waiver, I agree and acknowledge that I may be giving up important legal rights and remedies available to myself. For value received, I agree on behalf of myself that I assume all risks and waive any liability of any nature whatsoever against and agree to hold harmless School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, with respect to any and all actions, claims or demands that may be made or brought on our Behalf against School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, arising out of or in connection with travel to or attendance at the program, or any other activity I may engage in while in transport there. Further, for value received, for any injury to third parties that may arise because of my actions or omissions, I agree to hold harmless and defend School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, with respect to any and all actions, claims, expenses or demands arising there that may be made or brought against School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, including but not limited to reasonable attorneys’ fees and expenses arising in connection therewith. Please note: Wearing a face mask will be up to each individual person’s choice. If you are comfortable with attending knowing this, then we welcome you with open arms. By signing this form, you are confirming that you are taking full responsibility and liability for your health and your choice as an individual to attend, whether others wear a mask or not. Media Waiver: We consent to the use by School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, of any videotape, photograph, slide, audiotape, or any other visual or audio reproduction in which I may appear. I understand that these materials are being used for promotion of various retreats and trips by and for Sunny Dawn Johnston. Such promotional activities extend to recruitment, fund-raising, advocacy, etc. I release School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, from any liability connected with the use of my picture or voice recording as part of any of the above or similar activities. Medical Permissions (Limited): As a condition of attending the various events, I grant permission in the event of an emergency or accident for emergency medical care to be administered within the Facility and/or during or after transportation to a hospital or doctor for emergency medical care. I further understand that it is not the responsibility of School of Light LLC, Sunny Dawn Johnston, Kris Voelker, Janice Glyman Bue, Brandi Strieter, and Deb McGowan, to attempt to reach my emergency contacts and that I remain responsible for my medical expenses. Health Insurance for Travel InformationPolicy in the name of(Required)Insurance Company Name(Required)Insurance Company Policy Number(Required)I fully understand the consequences of and sign this LIABILITY WAIVER AND PERMISSION knowingly, freely, and willingly.Signature(Required)Today's Date(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920