for Hence Tea Trip Programs

Participant’s Name:


Trip Dates:





Hence Tea

Acknowledgment of Risk:

I, the undersigned participant, acknowledge that I have voluntarily applied to participate in the tea trip organized by Hence Tea. I understand that the activities involved in this trip may include, but are not limited to, travel by various modes of transportation, visiting rural and urban areas, hiking, participating in tea-making activities, and other recreational activities.

I am aware that these activities involve inherent risks, including but not limited to physical injury, illness, property damage, or even death. I acknowledge that these risks may arise from my own actions, the actions of others, or the conditions of the travel and activities themselves. I voluntarily assume all such risks and accept sole responsibility for any injury, loss, or damage to person or property that I may incur as a result of participating in the tea trip.

Release and Waiver of Liability:

In consideration of being allowed to participate in the tea trip, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, waive, discharge, and covenant not to sue Hence Tea, its owners, officers, employees, agents, contractors, and other participants (collectively, the “Released Parties”) from any and all claims, demands, actions, or causes of action arising out of or in any way related to my participation in the tea trip, including but not limited to claims for personal injury, property damage, or wrongful death, whether caused by negligence or otherwise.


I agree to indemnify, defend, and hold harmless the Released Parties from and against any and all claims, liabilities, damages, losses, costs, and expenses (including reasonable attorneys’ fees) arising out of or in any way connected with my participation in the tea trip.

Medical Consent:

I hereby consent to receive medical treatment that may be deemed necessary in the event of injury, accident, or illness during the tea trip. I understand that I am solely responsible for all costs related to such medical treatment, including transportation to a medical facility.

Governing Law:

This waiver and release shall be governed by and construed in accordance with the laws of [Your State/Country]. Any legal action or proceeding arising out of or related to this waiver shall be brought exclusively in the courts of [Your State/Country].

Acknowledgment of Understanding:

I have read this waiver and release of liability, fully understand its terms, and understand that I am giving up substantial rights, including the right to sue. I acknowledge that I am signing this agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Participant’s Signature:




Emergency Contact Name:


Emergency Contact Phone Number: