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Retreat Waiver Form

Retreat Waiver

Please fill out the following form
to be considered fully registered for the retreat.

The following is the identifying and contact information for me,

the Guest ("Guest"): 

Photo Release - Statement: 

I hereby grant Ellipsis Institute and their affiliates permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of Ellipsis Institute and their affiliates and will not be returned. I hereby irrevocably authorize Ellipsis Institute and affiliates to edit, alter, copy, exhibit, publish or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. 

COVID-19 Waiver of Liability 

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Ellipsis Institute or their affiliates cannot guarantee that I will not become infected with the Coronavirus/COVID-19. Ellipsis Institute and affiliates will utilize best practices noted by the CDC to mitigate risk of exposure including temperature checks prior to entering the retreat space, as well as requiring participants to complete the COVID questionnaire. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, other attendees, clients, and their families. I voluntarily seek services provided by Ellipsis Institute and affiliates and acknowledge that I am increasing my risk of exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while I hereby release and agree to hold Ellipsis Institute and affiliates harmless from and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act, or that may otherwise arise in any way in connection with any services received from Ellipsis Institute and affiliates. 

Refund Policy/Cancellation 

Ellipsis Institute reserves the right to cancel any trip for any reason but will not cancel a retreat less than 60 days before departure except for unusual or unforeseen circumstances outside of Ellipsis Institute's control. 

Cancellation by Participant: Please be sure you want to attend. While we understand that life happens, we cannot refund or transfer any deposits for our retreats. Please note that there will be no refunds or discounts for arriving late, leaving early, flight cancellations, travel delays or illness. We wish we could compensate people for unforeseen circumstances (injury, family emergency, etc), but we have costs already incurred when reserving retreat centers and excursions. In order to protect yourself, purchase travel insurance prior to your trip.

Cancellation by Ellipsis Institute:

We may cancel a trip at any time prior to departure, due to natural disasters, terrorism, political instability, COVID-19, or other external events that make it no longer viable to operate the planned retreat. If your trip is canceled, we will notify you immediately and provide instructions for the next steps. In circumstances where the cancellation is due to external events outside our reasonable control, credits will be less any unrecoverable costs. We are not responsible for any incidental expenses that you may have incurred as a result of your booking including but not limited to vaccinations, travel insurance, or non-refundable flights.


Please wait to book your airline ticket until the retreat has been confirmed with the minimum number of participants. You will be notified via email. A minimum number of participants is required in order for the retreat to run. In the event that we cancel a retreat due to an insufficient number of participants, you will be credited all retreat costs paid to Ellipsis Institute. To help you recover any potential losses, we strongly advise you to purchase travel insurance at the time of booking. 

I hereby agree that by signing this document, I consent to waive certain legal rights, including the right to sue the Organizer named above, and, if applicable, its employees, owners, officers, directors, representatives, agents, volunteers and facilitators from any physical, material, tangible or intangible, loss or damages that may happen to me during my participation in the Retreat. 

I will be voluntarily participating in the Retreat that will be conducted by the Organizer. The Retreat may include but is not limited to, the "Retreat Activities" described above. 

This Retreat Waiver will bind and be enforceable against me and all of my personal representatives. I agree that this Retreat Waiver should be enforceable to the fullest extent of the law, and if any portion is held invalid, the remainder should continue in full legal force and effect. 

I specifically acknowledge and agree that this document is not intended to be a general release, which would be limited under some state and local laws. 

This Retreat Waiver shall be construed and interpreted as broadly as possible in the applicable jurisdiction.


I understand and am aware that my participation in the Retreat involves risks. These risks may lead to tangible or intangible harm, and I agree that they may result not only from my own actions but also from the actions of others. With the knowledge and understanding of these risks, I choose, of my own will and volition, to participate in the Retreat. 

I am also aware that there are risks that I may not have considered, yet I waive my right to any claims that may occur from these unconsidered risks and I choose, of my own will and volition, to participate in the Retreat. 


I will not start any lawsuit or other court action against the Organizer, nor will I join any such proceeding, including any claim for money damages. I acknowledge and agree that I am entering a covenant not to sue the Organizer in any capacity, including to hold the Organizer liable for any injury, loss, or damage sustained by me or my property, even if it is due to the Organizer's negligence or omission. I also waive the right of any of my insurers' to make any such claim. 



I agree to defend and indemnify the Organizer and any of its affiliates (if applicable) and hold them harmless against any and all legal claims and demands, including reasonable attorney's fees, which may arise from or relate to my participation in the Retreat or my conduct or actions. I agree that the Organizer shall be able to select its own legal counsel and may participate in its own defense, if desired.


I am over 18 (eighteen) years of age, and am emotionally, medically, and physically able to participate in the Retreat.


This Retreat Waiver shall be governed by and construed in accordance with the internal laws of Ohio without giving effect to any choice or conflict of law provision or rule. Each party irrevocably submits to the exclusive jurisdiction and venue of the federal and state courts located in the following county in any legal suit, action, or proceeding arising out of or based upon this Retreat Waiver: Cuyahoga

I have read the above Retreat Waiver fully and I understand and agree to its contents. I understand and agree that by signing this Retreat Waiver I forfeit any right, claim, or ability to hold the Organizer responsible for any tangible or intangible damages, loss of property, or loss of life that may occur during or after my use of the facilities and participation in the Retreat. 

Thanks for submitting!

Welcome to Rest Is...THE RETREAT!

A week-long experience centering on rest and rejuvenation through ancestral veneration and other indigenous healing practices.

Retreat Dates:        October 26 – 31, 2023

Check-In:               October 26, 2023, at 3 PM

Check Out:            October 31, 2023, at 11 AM

Check-In Location:  Casa Grande Mountain Retreat

                           Utuado, Puerto Rico

What to expect: 

  • Sisterhood Connection 

  • Sound Bath Meditation 

  • Cultural & Ancestral Tour Experience 

  • Traditional Bomba Class 

  • Seven (7) Authentic Puerto Rican Meals 

  • Healing Practices and Workshops 

  • Optional Reiki/Chakra Balancing Session 

  • Free Time for Personal Exploration 

  • COVID-19 Precautions 

What you'll need: 



  • Face mask

  • Comfortable attire, i.e. cotton is soft, lightweight, breathable 

  • Swimsuits 

  • Yoga mat 

  • Journals and Pens 

  • Backpack 

  • Tennis shoes and Water Shoes 

  • Sunscreen 

  • Bug Spray 

  • Sanitizing supplies 

  • Rain jacket/windbreaker 

  • Anti-itch cream 

  • Water Bottle 

  • Limited to one suitcase 

  • *Please bring cash for tips and any items you would like to purchase.*

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