I, {attendeeName}, as a voluntary participant in the Restore Workshop (the “Workshop”), agree to release and discharge, and agree to indemnify and hold harmless, New Life Ministries, its officers, directors, employees, agents, and subcontractors against all actions, causes of actions, claims, demands, costs, expenses, and liabilities of any nature whatsoever that I may suffer directly or indirectly during the course of, or as a result of, my participation in the Workshop.
I certify I am 18 years of age or older.
I understand if I cancel my registration 14 days or more prior to the Workshop, I’ll receive a refund of the amount I’ve paid minus a $200 cancellation fee per person.
I understand if cancel less than 14 days before the start of the Workshop or I “no show” for the Workshop, no refund will be given.
I further understand and acknowledge that the Workshop is not psychiatric treatment and that no doctor-patient or therapist-client relationship is established by my participation in this event.
I understand the Workshop adheres to a Christian-based philosophy, which will influence the teaching and counsel I receive in this program.
I understand throughout the Workshop I will break out into a gender-specific small process group facilitated by a credentialed New Life Network Counselor. Failure to be present and on time for all small groups can be disruptive to the group process. I agree to be on time and fully participate in each group breakout meeting.
I understand the staff of the Workshop are mandated reporters, and they are required to report to the proper authorities any of the following:
A. Any first or second-hand knowledge of physical or sexual abuse of a minor.
B. Any danger a participant in the Workshop may pose to a third party.
C. Any danger a participant in the Workshop may pose to himself or herself.
I agree to abstain from the use of alcohol and illegal drugs during the Workshop.
If I have been advised by my physician or psychiatrist to take medication, I agree to continue using my medications as directed during the course of the Workshop.
I agree to cooperate fully with the staff of the Workshop, and I understand that failure to do so may result in expulsion from the Workshop.
I understand any and all information received at the Workshop is confidential.
For the privacy of all in attendance, and to safeguard the copyright of the content presented, I understand recording or photography of any portion of the workshop are strictly prohibited.
I, {attendeeName}, have read, understood, and agree to the foregoing.