Chakra Retreat - 2022 - TOOLS FOR ENERGY FREEDOM

We look forward to a transformative time with you on the beautiful island of Maui. Once you have paid your deposit, please let us know more about you!

SteP 1: Fill out the Registration Form

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone number *

Emergency Contact Info. Name/Phone number *

Dietary Restrictions or Food Allergies? Please describe. *

This is a yoga and outdoor activity retreat. Do you have any health considerations you would like us to be aware of? *

Please let us know what you hope to gain from this retreat? (I.e. Relaxation, connection, etc.) *

LIABILITY WAIVER

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

READ BEFORE SIGNING
In consideration of being allowed to participate in any way in (Kathy Williams or I'O Transformation) yoga and activity program, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS (Kathy Williams or I'O Transformation) their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

By submitting the form, I agree to the terms of the waiver.

Submit

Step 2: $500 Deposit

A $500 *unrefundable deposit is due via Venmo or PayPal.

(*While the deposit is unrefundable, if you end up not being able to come, you can always transfer your ticket to another person or take advantage of other services by Kathy Williams or Go Get it Gal. )

Pay via Venmo (@Kathy_Williams_coach)
Venmo

Pay via PayPal (with this option you can use a credit card)
PayPal

Questinonaire for the Awaken Through The Chakras
- Maui Retreat - October 14-19, 2022

SteP 1: Fill out the Registration Form

Step 2: $500 Deposit

Contact

Connect

Get In Touch!

Questinonaire for the Awaken Through The Chakras​- Maui Retreat - October 14-19, 2022

SteP 1: Fill out the Registration Form

Step 2: $500 Deposit

Contact

Connect

Get In Touch!

Questinonaire for the Awaken Through The Chakras
- Maui Retreat - October 14-19, 2022