Participant Waiver & Release
As a participant of A Koun Khmer Homecoming Experience this Dec 2025, please carefully review the Selarati LLC Participant Waiver & Release below before signing at the bottom of the page.
By submitting this form, you acknowledge and agree to the terms and confirm your electronic signature is valid and legally binding under the U.S. E-Sign Act.
Completion of this form is required for participation in the AKKHE trip.
Deadline: 01 Nov 2025
Selarati LLC Participant Liability Waiver, Assumption of Risk & Release of Claims
Trip: A Koun Khmer Homecoming Experience (“AKKHE”)
Location: Cambodia
Effective Date: 01 October 2025
Version: 1.0
1. Parties & Acknowledgment
This Liability Waiver and Release of Claims (“Agreement”) is entered into between the undersigned participant (“Participant”) and Selarati LLC, a New Hampshire limited liability company, including but not limited to its owner Priscilla Kim Ong, employees, representatives, agents, contractors, local guides, drivers, accommodation providers, vendors, and partners (collectively “Selarati”).
By signing this Agreement, Participant acknowledges that they have read, understood, and voluntarily agree to all terms herein and in the accompanying Selarati Terms & Conditions.
2. Voluntary Participation & Assumption of Responsibility
Participant voluntarily elects to participate in AKKHE and understands that all travel and group activities involve inherent risk. Participant accepts full personal responsibility for their health, safety, and conduct during participation in all trip-related activities.
3. Nature of Activities & Inherent Risks
AKKHE may include, but is not limited to:
Travel by vehicle, motorbike, tuktuk, boat, or bicycle;
Walking or hiking on uneven terrain;
Visiting rural areas, memorials, or historical sites;
Participation in group discussions or reflective activities;
Exposure to local foods, weather, insects, or environmental conditions.
Participant acknowledges these activities carry risks including injury, illness, emotional distress, theft, delays, or property loss, and voluntarily assumes all such risks, whether foreseen or unforeseen.
4. Independent Third Parties
Selarati partners with independent third-party providers (e.g., hotels, transportation, guides, local operators). These parties are not employees or agents of Selarati, and Selarati is not responsible or liable for their acts, errors, or omissions. Participant releases Selarati from liability related to services provided by third parties.
5. Health, Fitness & Medical Authorization
Participant certifies they are physically and mentally fit to participate and have disclosed any conditions or limitations.
Participant authorizes Selarati or its representatives to obtain emergency medical treatment if necessary and agrees to be fully responsible for all related costs.
Selarati makes no guarantees regarding medical care quality or availability.
6. Emotional & Psychological Wellbeing
Participant understands that the trip may include visits to sites or discussions that evoke emotional or psychological responses (e.g., memorials, trauma-related topics, identity reflection). Participant voluntarily assumes all risks of emotional distress and agrees that Selarati is not liable for resulting discomfort, stress, or trauma.
Selarati does not provide therapy or psychological counseling, and participation in reflective activities is voluntary.
7. Insurance
Selarati strongly recommends, and may require, that participants carry comprehensive travel insurance covering medical emergencies, evacuation, and trip interruption.
Failure to carry insurance is at the participant’s own risk.
8. Release & Waiver of Claims
To the fullest extent permitted by law, Participant hereby releases, waives, and forever discharges Selarati and its representatives from any and all claims, causes of action, damages, or liabilities arising out of or related to participation in AKKHE — including those resulting from ordinary negligence.
This includes, but is not limited to:
Personal injury, illness, or death;
Emotional or psychological distress;
Property loss or damage;
Delay, cancellation, or disruption;
Actions or omissions of other participants or third parties.
This release extends to all future Selarati programs unless revoked in writing.
9. Indemnification
Participant agrees to indemnify and hold harmless Selarati and its representatives from any claims, losses, or damages (including legal fees) arising out of Participant’s acts, omissions, or breach of this Agreement.
10. Conduct & Removal
Selarati reserves the right to remove or refuse service to any participant whose behavior is unsafe, unlawful, or disruptive to the group. Removal is at the participant’s expense and without refund.
11. Force Majeure & Trip Modifications
Participant acknowledges that trip modifications, delays, or cancellations may occur due to circumstances beyond Selarati’s control (e.g., weather, government actions, unrest, illness, or natural disasters).
Selarati’s refund, credit, and cancellation policies are defined in the Terms & Conditions, which Participant affirms they have read and accepted.
12. Limitation of Liability
Selarati’s total liability shall not exceed the amount paid directly by Participant for the trip.
Selarati shall not be liable for indirect, consequential, incidental, or punitive damages of any kind.
13. Media Release
Participant acknowledges that Selarati LLC and its representatives may photograph, film, and otherwise record portions of AKKHE for documentation, education, and promotional use.
By signing this Agreement, Participant grants Selarati a perpetual, worldwide, royalty-free license to use their likeness, image, name, and voice in any media format for marketing, archival, or educational purposes.
Participant understands and agrees that:
Selarati cannot exclude individuals from group or wide-angle scenes where participants appear incidentally.
Participants who wish to opt out of individually featured media (e.g., solo photos, interviews, close-ups) must notify Selarati in writing prior to the trip at contact@selarati.com.
Selarati will make reasonable efforts to accommodate opt-out requests for future publications, but cannot remove previously captured or shared content.
Participant waives all rights to inspect or approve materials containing their image and releases Selarati from all claims related to media use, including invasion of privacy or misappropriation of likeness.
14. Governing Law & Dispute Resolution
This Agreement shall be governed by the laws of New Hampshire, USA.
Any dispute shall be resolved by binding arbitration in New Hampshire, under the American Arbitration Association rules.
Claims may only be brought individually, not as part of a class or collective action.
15. Severability & Entire Agreement
If any portion of this Agreement is found invalid or unenforceable, the remaining provisions remain in effect.
This document, together with the Selarati Terms & Conditions, constitutes the entire understanding between Participant and Selarati.
16. Electronic Signature
By checking the acknowledgment box and typing their full legal name on the official Selarati form, Participant agrees that this constitutes their electronic signature, legally binding under the U.S. E-Sign Act.
You may download or request a copy of this waiver for your records at any time by contacting us at contact@selarati.com.
Selarati LLC
New Hampshire, USA
📧contact@selarati.com