Step 2. By reviewing and signing this Consent Declaration, I acknowledge that I have read, understood, and agree to the terms outlined across the following required agreements:
1. Event Informed Consent
I understand that this event is designed to provide education, support, and wellness experiences related to mental health and holistic care. Participation is voluntary and for informational and entertainment purposes only. I acknowledge that the event does not substitute for professional medical or mental health treatment, and I accept full responsibility for any actions I take based on the information provided.
I am aware of the potential benefits—including peer support, increased self-awareness, and reduced isolation—as well as potential risks such as emotional discomfort or breaches of confidentiality. I agree to uphold confidentiality and understand that it may be broken only in cases of immediate harm, in accordance with legal and ethical standards.
2. Event Session Agreement
I agree to arrive on time, wear appropriate attire, and communicate any relevant health concerns prior to the session. I will engage fully and respectfully in all activities. I understand that the host will provide guidance, maintain confidentiality, and ensure a safe environment. I acknowledge the cancellation policy and understand that fees may be applied to future events or refunded upon request prior to the event.
3. Confidentiality Agreement
I commit to maintaining the privacy of all participants and agree not to disclose any personal information or experiences shared during the event. I understand that this is a safe sharing space and that any recordings or photographs taken will require explicit consent. I acknowledge that any personal information collected will be used solely to enhance the event experience and will not be shared without my permission.
4. Recording and Media Use (Optional)
I understand that this event may be recorded or photographed for educational and promotional purposes. I consent to the use of my image and/or voice unless I notify the organizers during or prior to the event. I confirm that I have read and agree to the terms of this media use agreement.
5. Use of Contractors
I acknowledge that contractors may be involved in delivering services during the event. I understand that Black Falls Therapy and Wellness is not liable for any issues arising from services provided by contractors and agree to the terms of this waiver.
6. Release of Liability Agreement
I release Black Falls Therapy and Wellness, its hosts, instructors, and contractors from any liability for personal injury, emotional distress, or other damages that may arise during or after the event. I accept full responsibility for my well-being and participation.
By signing below, I confirm that I have read, understood, and voluntarily agree to all terms outlined in this Consent Declaration. I acknowledge the nature of Black Falls Therapy and Wellness public events and consent to participate with full awareness and responsibility.
By reviewing and signing this Consent Declaration, I acknowledge that I have read, understood, and agree to the terms outlined across the following required agreements:
Black Falls Therapy and Wellness welcomes your questions or comments regarding Event Registration Consents:
Black Falls Therapy and Wellness
Email Address: cliniccarecoordinator@visitblackfalls.com