WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND RELEASE AGREEMENT
FOR “WHERE THE HEART OPENS” RETREAT PARTICIPATION
Effective for the duration of the Retreat held from September 5, 2025, to September 7, 2025
Location: HomeStead Farm Resort, Catskills, NY
YOUR SAFETY IS OUR TOP PRIORITY. PLEASE READ & AGREE TO THE TERMS & CONDITIONS BY FILLING IN THE QUESTIONNAIRE
I, the undersigned participant, acknowledge that I have voluntarily chosen to participate in all yoga and yin yoga practice, breathwork, meditation sessions, any related movement, wellness sessions, sound healing, energy healing, ceremonial cacao and other activities as part of the “Where The Heart Opens” retreat (hereafter referred to as the Retreat), organized by Natalia Pruszko Orent and Sylwia Ryznar, taking place at Homesteads Farm resort in Catskills, NY from September 5th, 2025 to September 7th, 2025.
I understand that these activities involve physical movement and exercise, which carry inherent risks, including but not limited to muscle strain, sprains, injury, or, in rare cases, more serious medical conditions. I knowingly and freely assume all such risks.
ASSUMPTION OF RISK
I acknowledge and accept that:
I am voluntarily participating in all sessions at my own risk.
I understand that these activities require physical exertion and that I am solely responsible for assessing my own physical capabilities and limitations.
I confirm that I have consulted with a medical professional regarding any pre-existing health conditions that may affect my ability to participate safely.
WAIVER OF LIABILITY & AGREEMENT NOT TO SUE
In consideration of being allowed to participate in these sessions, I hereby waive, release, and discharge the Retreat organizers (Natalia Pruszko Orent, Sylwia Ryznar), teachers (Natalia Pruszko Orent, Sylwia Ryznar), venue (HomeStead Farm Resort), venue owners, and any affiliated individuals or entities from any and all claims, liabilities, damages, or expenses arising from or related to my participation, including but not limited to injuries, property damage, or medical expenses.
I further agree that I, my heirs, assigns, or legal representatives will not sue or make any claims against the Retreat organizers, teachers, venue owners, or any affiliated individuals or entities for any injuries, losses, or damages that may occur as a result of my participation in yoga and other activities.
SOUND AND ENERGY HEALING
I understand that the Retreat may include sound healing and energy healing sessions facilitated by Sylwia Ryznar. These sessions may involve the use of instruments and voice to create vibrational sounds intended to support deep relaxation and assist the body in restoring its natural balance on physical, mental, emotional, and spiritual levels.
I acknowledge that each individual may have a unique response to these practices. While there are no officially recognized side effects, I understand that sound and energy healing may occasionally result in temporary physical or emotional sensations, including but not limited to fatigue, emotional release, or heightened sensitivity, as part of the body’s natural integration process.
I understand that sound and energy healing are complementary wellness practices and are not a substitute for medical or psychological care. No diagnosis or medical claims are made, and no suggestion has been given to discontinue any current medical treatment or professional care. I am responsible for monitoring my own well-being and seeking appropriate medical attention if needed. I release the Retreat organizers (Natalia Pruszko Orent and Sylwia Ryznar), venue, and any affiliated individuals from any liability associated with my participation in sound healing or energy healing sessions.
Ceremonial Cacao
I am aware that participating in a cacao ceremony involves certain risks and responsibilities. I acknowledge that I have been informed of the nature of the ceremony and its potential effects on physical, mental and emotional well-being.
Acknowledgement of risks: I understand that the consumption of ceremonial cacao can have various effects on the mind and body. It can lead to altered states of consciousness, heightened emotions or other physical sensations. I am aware that reactions to cacao may vary from individual to individual and accept full responsibility for any potential risks associated with my participation in the ceremony.
Health and medical history: I hereby declare that I am in good physical and mental health. I have disclosed any relevant medical information, including medications, pre-existing conditions or mental health issues that may affect my ability to safely participate in the Cacao Ceremony. I understand that it is my responsibility to inform the instructor of any changes in my health or medical history.
Personal responsibility: I take full responsibility for my well-being during and after the cacao ceremony. I understand that the facilitator is not a licensed medical professional and that the ceremony is not a substitute for professional medical or psychological advice, diagnosis or treatment.
Informed Consent: I consent to participate in the cacao ceremony offered by Sylwia Ryznar. I am aware that the ceremonial cacao used in the session may contain caffeine. I acknowledge that I have chosen to participate of my own free will.
I release Sylwia Ryznar from any and all claims or liabilities arising from my participation in the cacao ceremony.
Photography and Recording: I give permission for Sylwia Ryznar to use any photographs, audio, or video recordings taken during the ceremony for promotional purposes unless I specify otherwise.
By signing below, I acknowledge that I have read and fully understand the terms of this liability and waiver form. I agree to follow the facilitator's instructions and to act responsibly throughout the cacao ceremony.
INDEMNIFICATION
I agree to indemnify and hold harmless the released parties from any claims, liabilities, or expenses that may result from my participation or actions during Retreat.
PERSONAL BELONGINGS
I understand that I am responsible for my personal belongings during sessions and release the organizers, teachers, venue, venue owners and any affiliated individuals from any liability for lost or stolen items.
MEALS, DIETARY NEEDS & ALLERGIES
I understand that meals, snacks and beverages (including coffee and tea) will be provided during the Retreat, prepared by a local cook who works on-site at the HomeStead Farm Resort kitchen. I acknowledge that it is my responsibility to inform the organizers in advance of any known allergies or dietary restrictions.
While the organizers and kitchen staff will do their best to accommodate individual needs, I understand that food and beverages are prepared in shared kitchen environment, and cross-contamination may occur. I release the Retreat organizers and teachers (Natalia Pruszko Orent, Sylwia Ryznar), venue, kitchen staff and affiliated individuals from any liability related to food allergies, sensitivities or adverse reactions to meals, drinks or ingredients served during the Retreat.
MEDICAL CONSENT
In the event of a medical emergency, I authorize the Retreat organizers to seek emergency medical care on my behalf. I understand that I am responsible for any medical costs incurred. I release the organizers from any liability related to medical treatment or lack thereof in the case of emergency.
JURISDICTION CLAUSE
This agreement shall be governed by and construed in accordance with the laws of the State of New York. Any legal action arising under or in connection with this agreement shall be brought only in the courts of New York State.
PHOTO & VIDEO RELEASE
[ ] I consent to the use of my image in photos or videos taken during the Retreat for promotional purposes.
[ ] I do not consent to the use of my image.
CANCELLATION POLICY ACKNOWLEDGMENT
By signing this waiver, I acknowledge and agree to honor the retreat’s cancellation policy as stated at the time of registration. I understand that the cancellation policy is in place to support the planning and integrity of the experience for all participants. I accept that any refund, partial refund, or credit is subject to the specific terms outlined during registration and communicated by the organizers.
ACKNOWLEDGMENT & SIGNATURE
I have read and understand this waiver, and I voluntarily agree to its terms.