For your safety, please answer the following questions:

ACKNOWLEDGEMENT

In accordance with the Pranic Healing Guidelines instituted by GrandMaster Choa Kok Sui, I hereby acknowledge and agree that (i) Pranic
Healing is not intended to replace allopathic medicine, but rather to complement it; (ii) Pranic Healers are not medical doctors, but
medical doctors can be Pranic Healers; (iii) Pranic Healers should not make medical diagnosis; (iv) Pranic Healers should not prescribe
medications and/or medical treatments; (v) Pranic Healers should not interfere with the prescribed medications and/or with medical
treatments.
I acknowledge and agree that I will not give, teach or divulge the techniques and teachings derived from the workshops to anyone
without the prior written approval from the Institute for Inner Studies. I also acknowledge, agree and understand that the courses
developed by GrandMaster Choa Kok Sui are copyrighted and are not to be reproduced in any way without written approval and
permission.

PHOTOGRAPHIC RELEASE

I give my full consent and permission to The Center For Pranic Healing ("CPH"), its local affiliates, their successors, licensees, and
assigns the irrevocable right to use, for any purpose whatsoever and without compensation, any photographs, videotapes, audiotapes, or
other recordings of me that are made during the course of this event (the "Event").

WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY

In consideration of ________________________________________________ (the "Participant"), being permitted to participate in any
(name of participant - please print)
way in a Center for Pranic Healing course, lecture, trip, or event (the "Activity" or "Event"), I the undersigned, for myself, my heirs,
personal representatives and assigns, do hereby (1) Release, Waive and Discharge the Center for Pranic Healing, their respective board
members, trustees, faculty, instructors, mentors, agents, advisors, employees, affiliates, members, volunteers, staff, representatives,
officers and assign (collectively, the "Releasees") from - and (2) Covenant Not to Sue - Releasees in connection with - any and all claims
(including, not by way of limitation, claims arising from negligence of Releasees or any of them resulting in personal injury, accidents or
illnesses (including death) and/or property loss) arising from or relating in any way to participation in the Event and/or travel before, during
or after the Event.
I acknowledge that the Activity may involve strenuous activities and certify that the Participant is in good physical and mental health and
that he/she has no special medical or physical conditions that would impede participation in the Activity. I acknowledge that participation
in the Activity carries with it certain inherent risks that cannot be eliminated, regardless of the care taken to avoid injury. These specific
risks vary from one activity to another, but the risks include (1) minor injuries such as scratches, bruises and sprains, (2) major injuries
such as eye injury or loss of sight, joint or back injuries, fractured or broken bones, heart attacks and concussions, and (3) catastrophic
injuries including paralysis and death. Such risks may result from many factors, including, but not limited to falls, contact with other
participants bad decision-making, actions of other participants, or accidents which cannot be foreseen. I acknowledge that the above
list is not inclusive of all possible risks associated with the Activity and agree that said list in no way limits the extent or reach of this
Waiver of Liability, Assumption of Risk and indemnity. I assert that my participation is voluntary and I knowingly assume all such risks.
I agree and indemnify and hold harmless Releasees from any and all claims, actions, suits, procedures, costs, expenses, damages and
liabilities, including attorneys fees, and to reimburse Releasees for any such expense incurred in connection with or as a result of (a)
Participant's participation in the Activity or (b) travel associated with the Activity or arising in connection with or as a result of any attempt
by anyone, including, not by limitation, Participant or anyone claiming on Participant's behalf, to avoid the terms of this Waiver or Liability,
Assumption of Risk and indemnity.
The undersigned further expressly agrees that (1) this document and/or any action or claim relating to this document and/or the Activity
shall be governed by the laws of the state of New Jersey without regard to the laws of conflict of law thereof; (2) any action or claim
relating to this document and/or the Activity shall be initiated and maintained in municipal or state court in Bergen County, New Jersey or
in United States District Court for the District of New Jersey; and (3) the foregoing Waiver, Assumption of Risk and Indemnity is intended
to be as broad and as inclusive as is permitted by the laws of the State of New Jersey and that if any portion thereof is held invalid it is
agreed that the balance shall, notwithstanding, continue in full force and effect.
I have read this Waiver, Assumption of Risk and Indemnity, fully understand its terms, and understand that I am giving up substantial
rights - including my right to sue. I know, understand and appreciate that there are risks inherent to the Activity. I expressly agree and
assert that participation in the Activity is voluntary and I knowingly assume all such risks and elect to proceed with the participation
despite all the risks. I acknowledge that I am signing this Waiver of Liability, Assumption of Risk and indemnity freely and voluntarily and
intend, by my signature, the complete and unconditional release of all liability to the greatest extent allowed by law.