COR LDT 2023 Online Liability Waiver

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Participant Name* This field is required.
First Name
Last Name
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ASSUMPTION OF RISK: I understand that the Leadership Development Training is physically, emotionally, and mentally demanding because the hours are long, the content is very intense, and some participants may use profanity, express disturbing perceptions, emotions, or experiences. I understand that not all of the risks associated with the group activities occurring during the Training are known or predictable because of the diverse backgrounds, temperaments and other individual characteristics of the participants. I understand and acknowledge that I have carefully assessed my own physical, emotional, mental strength and endurance, and have after careful deliberation concluded that I am able to and wish to participate in the Training. I understand and acknowledge that there are psychological, emotional, and even physical risks to me, and I knowingly and voluntarily assume all of those risks.* This field is required.
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NO REPRESENTATIONS OR WARRANTIES: I understand and agree that any information communicated to me by any person(s) who attended the Training is a matter of their experiences and opinion only. I agree that COR, Inc., its employees, officers, directors, facilitators including Richard Lee Eskey and Britta Eskey, volunteers and agents (collectively, “COR”) are not and shall not be responsible for any representations so made. I understand and agree that COR makes no assertions, statements, guarantees, or warranties regarding the contents of the Training.* This field is required.
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RELEASE: I specifically and forever release and discharge, and promise not to sue, COR from any and all actions, causes of action, obligations, costs, expenses, attorney’s fees, damages, losses, claims, liabilities and demands of whatsoever character, nature and kind known and unknown, suspected or unsuspected, predictable or unpredictable arising out of or related directly or indirectly to my participation in the Training whether such injuries are psychological, physical, emotional or mental.* This field is required.
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ARBITRATION: Any controversy or claim arising out of or relating to this Agreement, or breach hereof, shall be settled by arbitration pursuant to the Commercial Arbitration Association, and judgement on award rendered by the Arbitrator(s) shall be binding, conclusive and non-appealable. All arbitrations hearings shall be conducted in the State of North Carolina. * This field is required.
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CONFIDENTIALITY/NON-DISCLOSURE OF MATERIALS: I understand that it is important for me to protect the privacy of other participants in the Training and therefore agree that I will not disclose the names or other means of identification of any other participant in the Training to any third party. I understand that the processes and materials of the Training belong to COR and are proprietary. My exposure to these processes and materials does not give me ownership in them and I understand that disclosure to third parties would cause economic damage to COR. Therefore I agree that I will not directly or indirectly disclose any details of the Training processes or materials to anybody.* This field is required.
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PERMISSION TO LEAVE WORKSHOP: I understand that I shall have the unequivocal right at any point in time during the Training, even in the middle of an activity, to end my participation in the Training and leave the program. I understand that if I discontinue my participation for any reason, I will forfeit my place in the training. I will under no circumstances be entitled to a refund or return of any portion of the fees paid or the expenses I have incurred in attending the Training.* This field is required.
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RIGHT TO EJECT: I agree not to engage in any conduct that may disturb, disrupt or prevent COR or the participants of the Training from delivering or participating in the Training. I understand and agree that in the event I do engage in any such conduct, COR shall have the right to instruct me to leave the Training and I agree to leave the Training if so instructed. I hereby grant COR the authority and the right to eject me from the Training if I refuse to leave after being so instructed. If instructed to leave or ejected I will not be entitled to a refund of any portion of the fees paid or the expenses I have incurred in attending the Training.* This field is required.
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PSYCHOTHERAPY (Part 1): Choose the option below that applies to you:* This field is required.
I am not at the present time in any form of psychotherapy
I am at the present time in any form of psychotherapy
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PSYCHOTHERAPY (Part 2): I understand that the Training is not designed or delivered in such a way as to be psychotherapeutic. I hereby release COR from any and all liability for any adverse effects the Training experiences may have on me or on my course of psychotherapy.* This field is required.
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I acknowledge that during or after the course of the Training, the facilitators may refer me to certain professionals. It is my decision whether or not to obtain the services of these certain professionals. I accept all responsibility for my association with certain professionals and agree that in no way shall I seek to hold COR liable for any injury, claim or right of action arising out of my association with certain professionals referred to me by COR. * This field is required.
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This document contains all of the agreements and understandings between the parties and no representations other than those contained herein have been relied upon by any of the parties. I understand that this document is written to be as broad and inclusive as legally permitted. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms. * This field is required.
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I hereby acknowledge that I have carefully read and that I understand the terms and conditions of the above agreements. Unless I otherwise agree in writing to the contrary prior to the commencement of the Training, I understand that the terms of this document will be binding at all times during and after the Training.* This field is required.Participant Signature
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Date* This field is required.
Date
Year
Month
Day
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E-mail
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