STATEMENT OF INFORMED CONSENT, RELEASE AND WAIVER OF LIABILITY

This agreement is between The Sophia School of Living Arts (hereinafter called “The School”)
and the “Workshop Participant” listed below, who voluntary agrees to attend and participate in the EFT Training Course with Sonya Sophia.

I have agreed to attend and participate in the Workshop offered by The School. The Workshop is offered to participants who want to learn EFT, Emotional Freedom Technique, skills. Workshop participants are taught how to utilize EFT, also called Tapping, which involves attendance and participation in a variety of classroom activities, exercises, physical movement and meditation practices, art and creativity enhancements, dancing and Tapping sessions as well as residing at the Retreat Center.

I understand the inherent risks associated with attendance and participation in this Workshop and the possible injuries that could be sustained by participants. I knowingly and
voluntarily assume these risks and full responsibility for any personal injury or illness, including death, that may be sustained by me, or any loss or damage to property owned by me, as a result of — or in any way arising out of — my attendance and participation in this Workshop during the Workshop Dates, or in travel to and from this Workshop.

I acknowledge that I am solely responsible for medical or other costs arising out of any bodily injury, illness, or property damage or loss sustained by me through my voluntary participation in this Workshop.

I hereby agree that in consideration of The School allowing me to participate in the Workshop, I do for myself and my heirs, executors, administrators, and assigns hereby
release, waive, and forever discharge The School, its owner, officers, agents and employees (hereinafter referred to as “Releases”) from any and all liability, claims, demands, actions, or causes of actions
arising out of or related to:

1. Any injury or illness, including death, that may be sustained by me or which I may cause during the course of my participation in the Workshop, or

2. Any loss or damage to my property, while participating in the Workshop and any activities incidental to participation in the Workshop.

I hereby agree to indemnify and hold harmless the Releases against all liability for any personal injury or illness, loss or damage to property, or costs, including court costs and attorneys’ fees that may result from or arise out of my participation in this Workshop.

By signing this release form, I also authorize The School to use my picture, including photographic, motion picture and electronic (video) images, as well as my voice, including sound and video recordings (the “Reproductions”). I hereby grant to The School, its licensees, successors, subsidiaries and assigns, the right to use, publish, and reproduce, for all purposes, such Reproductions, in any and all media including, without limitation, the Internet, and for educational conferences, promotion, advertising, and in brochures, flyers or other print media. This permission extends to all languages, media, formats and markets now known or hereafter devised.

This permission shall continue forever unless I revoke the permission in writing. I further grant The School all right, title, and interest to said Reproductions as well as the right to transfer and exhibit the Reproductions for marketing, communications, or advertising purposes, as it deems fit. I hereby waive the rights to receive any payment for signing this release, or to receive any payment for the use of any of the material described above for any of the purposes authorized by this release.