Register for a Forest Therapy event

1

Find an event you are interested in using the calendar. Click on the event name for more details. Then proceed to number 2 below.

Events Calendar

2

Complete this form completely and accurately. Once submitted you will be taken to the payment page.

MY Forest Therapy RX Participant Event Request and Agreement Form

Thank you for wanting to join me! I will send more info and walk’s location after I receive this request and registration for an available space. Please note event spaces are limited in number due to Covid precautions. Please pick alternative dates, therefore, if possible.

Date of Walk*

Alternative Date of Walk

I acknowledge that outdoor activities in natural areas entail known and unanticipated risks that could result in injury.

I agree and promise to accept responsibility for my own safety and well-being during this activity. I understand that I may at any time opt to not participate in any part of the activity should I feel that it is not safe, or simply that I do not want to participate for any reason.

I voluntarily release and hold harmless Willow Dejesus/My Forest Therapy RX and the Association of Nature and Forest Therapy Guides and Programs (ANFT) and the individuals who are acting as guides on this walk from any and all claims of liability, which are in any way connected with my participation in this activity.

If I have a medical condition or health concern that I think the guides should be aware of, I will verbally inform them before or at the beginning of the walk.

With your permission, Willow Dejesus may take photographs of you and your group on this walk. We would like your permission to use these photographs in promotional materials which may include social media, website, printed flyers and books, and videos. We are sometimes asked by news reporting agencies and publications to provide photos for articles they are writing about nature connection topics. We do this at no charge. We promise to carefully select photographs that show you in a way that we are confident you will like. If you are not comfortable with having photos that include you taken and possibly used in these ways, we prefer that you mark “No” in the box below; we want for you to have a relaxed and stress-free experience on your walk.

Yes, you may take photographs of me and use them as described above. No, I prefer not to be photographed.

By typing your name below you are stating that you understand and agree to all conditions mentioned in this form.