Registration Information Fullname* Email Address* Mobile Phone* Home Address Select stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Occupation* Gender* Male Female Date of Birth* Any Allergies/Medical Conditions* Liability & Photo, Media and Copyright Release I do hereby waive, release, absolve, forever discharge, and do further agree to indemnify and hold Sai Meditation Centre, trustees, officers, volunteers, and agents harmless from and all claims, damages, losses and/or expenses arising out of participation in Sai Meditation Centre activities. I assume all liability for any and all personal injury, bodily injury, illness or property damage that occurs as a result of participation in such activities. I also agree that we will not bring any lawsuits nor make any demands nor pursue any complaints against Sai Meditation Centre as a result of his/her participation in Sai Meditation Centre activities. Agreement to this Release also warrants that participation in this activity is voluntary and we have read and understand the inherent risks involved in the activities. I grant Sai Meditation Centre my/our permission to photograph, videotape, and/or audiotape during activities at Sai Meditation Centre. These photographs/videos/audios will remain the property of Sai Meditation Centre and may be used in advertising or marketing campaigns on Sai Meditation Centre’s websites, and for promotional and informational material including, but not limited to, flyers, brochures, newsletters, emails, advertisements, newspaper articles, Youtube promotions. I hereby waive and release any rights to compensation for, or ownership of, such images and/or sounds. I have read and agree to the terms and conditions of this Liability and Photo, Media and Copyright release.
