WAIVER AND DISCLAIMER
By providing my electronic signature below or by printing, signing, and returning this document to CGRC, I acknowledge that I have completely read and understand the following:
1. I verify that I am the parent or caregiver of a child impacted by trauma who attends a K-12 school in Chester, Delaware or Mongtomery Counties, Pennsylvania or in South West Philadelphia Zip Codes 19142, 19143, 19153.
2. The information provided during registration may be used for the following:
- Provide Zoom link and course material
- Contact emergency personnel in the case of a medical or psychiatric emergency, including danger to self or others, and/or to make a report of child abuse or neglect.
3. As a mandated reporter under the PA Child Protective Services Law and employee of CGRC, the facilitator(s) is required to make an immediate and direct report to ChildLine by calling 1-800-932-0313 or via www.compass.state.pa.us/cwis when he or she has a reasonable cause to suspect that a child is the victim of child abuse or neglect.
4. The session(s) is intended for informational purposes only and is not a substitute for therapy. The content does not constitute the provision of professional health care, including diagnosis, treatment, or professional advice for any condition or symptom. You should consult your physician or other qualified healthcare provider regarding any questions or concerns.
5. You should stop attending the session(s) and consult with a therapist whenever you feel overwhelmed or feel that your mental health or ability to keep yourself or others safe is at risk. Please call/text 911, the National Suicide and Crisis Hotline 988, or take yourself to the nearest emergency room or crisis center.