The Earth Temple: Center of Prayer & School of Shamanic Arts

Release Form

Full release of any legal liability:

I release the land owners, tenants, and anyone else from any responsibly for my physical, mental, financial, emotional and spiritual well being, now and always. By signing here, I understand that every time that I visit The Earth Temple, or any location for The Earth Temple activities, or anywhere I work or travel with anyone from The Earth Temple, including but not limited to, Rev. Briana Lynn Cavion, and any of the people that work with them, it is FULLY MY SOVEREIGN CHOICE (signed name below). I hold no one other than myself, fully responsibility for my life, health, and well-being in every way. Any suggestions they (Rev. Briana Lynn Cavion & associates) make are merely that, suggestions. I understand them as such, and they will not be taken in lieu of the guidance of medical, psychological, financial, or other professional direction. I sign my full name, today's date, email, birthdate, and current home address here to release ALL other humans, organizations, churches, or directives from ANY responsibility for my well being during any and all of my work with Rev. Briana Lynn Cavion, and anyone associated with them. Type "I agree" if you agree.

Legal Full Name

First Name

Last Name

Today's Date

YYYY

Current Home Address

This is to verify your identity. This information will not be used in any way without your permission.

Date of Birth

YYYY

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