LIABILITY WAIVER FORM

I, the participant am aware that participating in a cacao ceremony involves certain risks and responsibilities. I acknowledge that I have been informed of the nature of ceremony and health implications as well as potential effects on physical, mental and emotional well-being.

Acknowledgment of risks: I understand that the consumption of ceremonial cacao can have various effects on the mind and body. It can lead to altered states of consciousness, highhanded emotions or other physical sensations. I am aware that reactions to cacao may vary and accept full responsibility for any potential risks associated with my participation in the ceremony.

Health and medical history: I hereby declare that I am in good physical and mental health. I have checked and confirmed that no relevant medications, pre-existing conditions or mental health issues that affect my ability to safely participate in the Cacao Ceremony. I understand that it is my responsibility to inform any relevant medical professionals and the Cacao Ceremony facilitator if I need medical assistance during the ceremony.

Personal responsibility: I take full responsibility for my health and wellbeing before, during and after the Cacao Ceremony. I understand that the facilitator is not a licensed medical professional and that the ceremony is not a substitute for professional medical or psychological advice, diagnosis or treatment.

Informed consent: I consent to participate in the cacao ceremony offered by the facilitator appointed and I am aware that the ceremonial cacao used in the session may contain caffeine. I acknowledge that I have chosen to participate of my own free will.

I release the facilitator appointed and the Director of MIS Worldwide Limited from any and all claims or liabilities arising from my participation in the Cacao Ceremony.

Photography and recording: I give my permission for the facilitator to use any photographs, audio or video recordings taken during the ceremony for advertisement and marketing purposes unless, I specified otherwise.

By signing below, I acknowledge that I have read and fully understand the terms of this liability and waiver form. I agree to follow the facilitator’s instructions and to act responsibly throughout the cacao ceremony.