Welcome to Seniors in Motion: Mother’s Day Spa Day

The Center for Truth and Healing (CFTH), The Nation of Cherut, 88 Stars Consultant, Black Heaven Farm & Retreat, and Seed Life Foundation, are honored to invite you into a sacred space of care, restoration, and celebration. This experience is thoughtfully designed to uplift and honor our mothers and elders through wellness, community, and compassion.

Please complete the registration form below to secure your place. Space is limited, and advance registration is required.

We look forward to serving you with excellence.

First Name *

Last Name *

Phone *

Email *

City

State

Age Range *

Are you attending? *

Yes, I will attend

Registering for someone else

If registering for someone else:

Name of attendee
Relationship

Will you be bringing a guest? (Limit 2 guests) *

Yes

If you are bringing guests, how many? (Limit 2 guests)

Any food allergies? *

If yes, please list allergies or diet restrictions

Do you have any health or mobility considerations we should be aware of? *

Yes

If yes, please list the consideration

Event Participation & Liability Disclaimer

By registering for and attending Seniors in Motion: Mother’s Day Spa Day, you acknowledge and agree to the following:

Voluntary Participation
Participation in this event is voluntary. You understand that wellness activities, health screenings, and spa services are provided for general informational and relaxation purposes only and are not intended to diagnose, treat, or cure any medical condition.
Medical Responsibility
You acknowledge that you are responsible for your own health and well-being. If you have any medical conditions, concerns, or limitations, you agree to consult with your healthcare provider prior to participating in any activities offered during this event.
Release of Liability
You hereby release and hold harmless all hosting and partnering organizations, including The Nation of Cherut, The Center for Truth and Healing (CFTH), Lifeline Global, 88 Stars Consulting, Black Heaven Farm & Retreat, and all affiliated staff, volunteers, and partners from any and all liability, claims, demands, or causes of action arising out of or related to your participation in this event.
Assumption of Risk
You acknowledge that participation in wellness activities and attendance at a public event carries inherent risks. You voluntarily assume all risks associated with your participation.
Photography & Media Release
By attending, you grant permission for photographs and video recordings to be taken and used for promotional, educational, and community purposes unless you explicitly request otherwise in writing prior to the event.
Event Changes
Organizers reserve the right to make adjustments to the program, services, or schedule as needed to ensure the safety and success of the event.

By submitting this form, you confirm that you have read, understood, and agree to the terms outlined above. *

I agree to the Event Participation & Liability Disclaimer