CoA Registration

General Information

Your Name (required)

Your Address (required)

Your Cell Phone (required)

Your Email (required)

Intention

Are you committed to the honesty, open-mindedness and willingness necessary for a transformational experience? (required)

What is your intention for this experience? (required)

What do you need for this to happen? (required)

What low standard in yourself have you tolerated? (required)

What would it take for you to change this? (required)

Are there any physical or mental limitations that I should be made aware of? (required)

Please list any specific food allergies.

Waiver

Celebration of Awesomeness is designed as a place for spiritual growth and communal connection.  My primary goal is to provide you with an opportunity to go deep into your experience, to explore and enjoy. It is my goal to offer these activities as freely as possible and with the greatest possible access to them. However, these retreats involve risks and uncertainties especially in this time of Covid. 

Thus, I ask that you read and sign this waiver of liability. By signing it, you will be indicating that you understand the risks and take responsibility for your physical and emotional well-being.

Assumption of Risk

I acknowledge that I have voluntarily applied to participate in the David Cunningham’s Celebration of Awesomeness Retreat.  In consideration of David Cunningham accepting me for participation in this event, I agree to this release of claims, waiver of liability and assumption of risks.
On behalf of myself, my heirs, executors, successors, administrators and any other person who may have an interest at common law or by operation of statute, I hereby waive any and all claims I or such parties may have now or in the future. I release from liability David Cunningham, his assistants, and any employees, guides, agents or representatives ("the releasees") for any personal injury, death, property damage or loss
or any nature suffered by me as a result of participation in any activity on the retreat.
I release from liability David Cunningham for any cause whatsoever including those arising out of, or in any way connected to or occasioned by the negligence of the releasees.
 
I understand that coaching does not involve the diagnosis or treatment of mental disorders as defined by the American Psychiatric Association.  I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment and I will not use it in place of any form of diagnosis, treatment or therapy.
 
I understand that coaching is not to be used as a substitute for professional advice by legal, medical, financial, business, spiritual or other qualified professionals.  I will seek independent professional guidance for legal, medical, financial, business, spiritual or other matters.  I understand that all decisions in these areas are exclusively mine and I acknowledge that my decisions and my actions regarding them are my sole responsibility.
 
I have read and agree to the above.

Signature (required)