Special Ansu Participant Waiver, Release of Liability, Assumption of Risk, and Informed Consent

1. Nature of the Program

I understand that I am voluntarily participating in a faith-based spiritual practice offered in connection with the Cheon Shim Won ministry of HSA-UWC.
I understand that the program may include prayer, spiritual guidance, devotional movement, clapping, rhythmic tapping or patting, Ansu-style spiritual practice, and other spiritually oriented activities. I understand that these activities are religious and spiritual in nature.
I understand that the program is not medical treatment, mental health treatment, physical therapy, counseling, psychotherapy, or any other licensed healthcare service. The program is not intended to diagnose, treat, cure, or prevent any medical, psychological, psychiatric, or physical condition.

2. No Medical or Mental Health Services

I acknowledge that the facilitators, staff, volunteers, and ministry representatives are not providing medical care, mental health counseling, psychotherapy, physical therapy, or other licensed healthcare services unless specifically disclosed in writing by a properly licensed professional acting within the scope of that license.
I understand that I should consult an appropriate licensed healthcare professional regarding any medical, physical, psychological, or mental health concerns. I agree that I will not delay, discontinue, or change any prescribed medical or mental health treatment based on my participation in this program without first consulting my healthcare provider.

3. Voluntary Participation and Right to Stop

I acknowledge that my participation is entirely voluntary. I may decline to participate in any activity, request modification, or stop participating at any time for any reason.
I understand that participation in this program is not required for church membership, spiritual standing, access to other church or ministry activities, or any other religious or organizational benefit.

4. Consent to Physical Contact

I understand that some activities may involve appropriate physical contact by Ansu facilitators or ministry representatives, including rhythmic tapping, patting, clapping, or similar contact traditionally associated with Ansu-style spiritual practice.
I consent to such contact only to the extent I choose to participate. I understand that I may refuse physical contact, ask that contact stop, or ask that the activity be modified at any time.

5. Assumption of Risk

I understand that participation may involve physical, emotional, mental, and spiritual experiences that differ from person to person. Possible risks may include, without limitation, physical discomfort, soreness, bruising, fatigue, dizziness, emotional distress, emotional release, aggravation of pre-existing physical or mental health conditions, or other unexpected reactions.
I understand that these risks may arise from sitting, standing, movement, clapping, rhythmic tapping or patting, physical contact, emotional or spiritual intensity, or other aspects of the program.
I knowingly and voluntarily assume the risks associated with my participation, including risks that are known and unknown, expected and unexpected, except to the extent liability cannot legally be waived under applicable law.

6. Health Representation

I certify that I am physically, emotionally, and mentally able to participate, or that I have consulted with an appropriate healthcare provider regarding my participation.
I understand that I should not participate, or should seek medical advice before participating, if I have any condition that could be affected by physical contact, movement, emotional intensity, or prolonged sitting or standing. Such conditions may include, without limitation, recent surgery, pregnancy, injuries, chronic pain, bleeding disorders, use of blood-thinning medication, osteoporosis, heart conditions, neurological conditions, psychiatric crisis, trauma-related concerns, or any other condition that may make participation unsafe or inadvisable.
I agree to promptly inform the facilitator if I experience pain, distress, dizziness, discomfort, emotional overwhelm, or if I wish to stop participating.

7. Personal Responsibility

I accept responsibility for my own physical, emotional, mental, and spiritual well-being before, during, and after the program.
I understand that any personal, spiritual, medical, emotional, financial, or life decisions I make before, during, or after participation are solely my responsibility.

8. Release of Liability

To the fullest extent permitted by Nevada law, I release and discharge The Holy Spirit Association for the Unification of World Christianity and their respective officers, directors, employees, ministers, facilitators, instructors, volunteers, agents, contractors, venue owners, representatives, related entities, and affiliated organizations from any and all claims, demands, causes of action, liabilities, damages, losses, costs, and expenses arising out of or relating to my voluntary participation in the program.
This release applies to claims arising from ordinary negligence to the fullest extent permitted by law. It does not apply to claims that cannot legally be released, including claims arising from gross negligence, reckless conduct, intentional misconduct, or other conduct for which liability cannot be waived under applicable law.

9. Confidentiality and Privacy

I understand that facilitators will make reasonable efforts to respect the privacy of information voluntarily shared during the program. However, I understand that confidentiality cannot be guaranteed in a group, ministry, or emergency setting.
I agree to respect the privacy of other participants and not disclose personal information shared by others during the program, except as required by law or to protect health or safety.

10. Emergency Medical Care

In the event of an emergency, I authorize program staff or ministry representatives to contact emergency medical services if they deem it appropriate. I understand that I am responsible for any resulting medical expenses.

11. Governing Law

This agreement shall be interpreted to the fullest extent permitted by applicable law. For any claim arising out of or relating to a participant’s attendance at or participation in a program, activity, or event, the governing law shall be the law of the state where the program, activity, or event took place, without regard to that state’s conflict-of-law rules.
To the fullest extent permitted by law, any legal action arising out of or relating to attendance at or participation in a program, activity, or event shall be brought in a court of competent jurisdiction in the state and county where the program, activity, or event took place, unless otherwise required by applicable law.

12. Severability

If any provision of this agreement is found to be unenforceable, the remaining provisions shall remain in full force and effect to the fullest extent permitted by law.

13. Acknowledgment

For Participants Age 18 or Older

By signing below, I acknowledge that:
I have read and understand this document. I have had the opportunity to ask questions. I understand the nature of the program. I understand that I am giving up certain legal rights by signing this agreement. I sign this agreement voluntarily and without coercion.

For Participants Under Age 18

I am the parent or legal guardian of the above-named minor participant. I consent to the minor’s participation in the program under the terms of this agreement.
I understand that the minor’s participation is voluntary and that the minor may decline to participate, request modification, or stop participating at any time.
To the fullest extent permitted by law, I agree to release and discharge the released parties identified above from claims I may personally have arising out of the minor’s participation. I also agree to be responsible for any medical expenses incurred on behalf of the minor.