Teotzlcoatl
Bluelighter
- Joined
- Feb 5, 2010
- Messages
- 779
~ Entheogenic Waiver ~
I ______________________ understand that I am going to ingest an entheogenic substance, and do so by my own free will.
I ______________________ take full responsibility for any of the effects that the entheogenic substance has on my mind or body.
I ______________________ take full responsibility for any harm I may do to myself or others while on the influence of the entheogenic substance.
I ______________________ take full responsibility for any decisions I may make while under the influence of the entheogenic substance.
I ______________________ do not hold anyone responsible, legally or otherwise, except myself, for the effects of the entheogenic substance or my actions while intoxicated.
I ______________________ understand that the entheogens can be extremely powerful, yet I also understand that the effects are variable and an experience is not guaranteed.
I ______________________ take full legal responsibility for all of my actions, as well as all effects relating to the entheogenic substance, both short-term and long-term. I hereby declare, with the signing of this document that I hold no one responsible in any way shape or form other than myself for anything relating to my entheogenic experience, the entheogenic substance or the administrator of the entheogenic substance. I accept sole responsibility.
Print Name X___________________________________________________________
Date X___________________________________________________________
Signature X___________________________________________________________
I ______________________ understand that I am going to ingest an entheogenic substance, and do so by my own free will.
I ______________________ take full responsibility for any of the effects that the entheogenic substance has on my mind or body.
I ______________________ take full responsibility for any harm I may do to myself or others while on the influence of the entheogenic substance.
I ______________________ take full responsibility for any decisions I may make while under the influence of the entheogenic substance.
I ______________________ do not hold anyone responsible, legally or otherwise, except myself, for the effects of the entheogenic substance or my actions while intoxicated.
I ______________________ understand that the entheogens can be extremely powerful, yet I also understand that the effects are variable and an experience is not guaranteed.
I ______________________ take full legal responsibility for all of my actions, as well as all effects relating to the entheogenic substance, both short-term and long-term. I hereby declare, with the signing of this document that I hold no one responsible in any way shape or form other than myself for anything relating to my entheogenic experience, the entheogenic substance or the administrator of the entheogenic substance. I accept sole responsibility.
Print Name X___________________________________________________________
Date X___________________________________________________________
Signature X___________________________________________________________