Fall Retreat Registration

Illuman PNW Fall Retreat
10/06/2023 08:00 PM - 10/08/2023 10:00 AM PT


Stevenson, WA

Attendee Contact Information 


Emergency Information 


Waiver Statement:

Release Of Liability (read and fill in the check box to sign electronically below)

In consideration for participating in this Retreat, and in full recognition and appreciation of the dangers and risks inherent in such activities, I do hereby waive, release, and forever discharge Illuman, Illuman of WA, Illuman of the PNW, their officers, contractors, agents and employees, as well as any associated persons from and against any and all claims, demands, action or causes of action for costs, fines, expenses or damages to personal property or personal injury, or death, which may result from my participating in these activities.

I understand that all costs for emergency medical treatment, should it be necessary, including medical transportation via ground or air, are my sole responsibility.  I further understand that WindWoodRivers is remote and that medical emergency services will take extra time to arrive because of this.

I understand and admit that my participation in this event is voluntary. I assume full responsibility for any injuries or damages resulting from my participation in this event including responsibility for using reasonable judgment in all phases of participating in the event and travel to and from the event’s location.

I understand that I have permission to bring my own tent and sleep isolated from others, and that if I don't, I will be sharing sleeping quarters with others.  I understand that while precautions will be made, it is impossible to have the risk of COVID exposure be reduced to zero.

I affirm that I am in good health and I further declare that I am physically fit and capable to participate in such activities. I acknowledge the risk that I am taking in participating in this event. I understand that it is my responsibility to notify the appropriate person at the event location of emergency medical information.

I understand that we are in a wilderness setting, and will not venture off alone without notifying someone as to my intentions.  I will follow instructions and stay within the boundaries laid out for me.  I understand that the risks I might take, impact not only me but also others on the trip.

I also understand that this Waiver of Liability and Release binds my heirs, executors, administrators, and assignees, as well as myself.

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