HWMG Liability + Photo Waiver
HUMBLE WARRIOR – RELEASE OF LIABILITYIn exchange for participation in the activity of Humble Warrior Men’s Group Program organized by Humble Warrior Men’s Group (and its facilitators), I, Participant, of said group agree for myself and (if applicable) for the members of my family, to the following n1.AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow anyoral instructions or directions given by Humble Warrior Men's Group (and its facilitators), or the employees, representatives or agents ofHumble Warrior Men's Group (and its facilitators).2.THE GROUP PROCESS. You have taken a very positive step by deciding to participate in a men’s support group. The outcome of yourparticipation in this group depends largely on your willingness to engage in this process, which may, at times, result in considerablediscomfort. Remembering unpleasant events and becoming aware of feelings attached to those events may bring on strong feelings ofanger, depression, anxiety, etc. The promise of this group is to hold space for the authentic expression of your truth.3.ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with the above describedactivity (including but not limited to physical, psychological, emotional, etc) and I assume full responsibility for personal injury to myself and(if applicable) my family members, and further release and discharge Humble Warrior Men's Group (and its facilitators) for injury, loss ordamage arising out of my or my family's use of or presence upon the facilities of Humble Warrior Men's Group (and its facilitators), whethercaused by the fault of myself, my family, Humble Warrior Men's Group (and its facilitators) or other third parties. I also hereby acknowledgethat any coaching or information I receive from this program is not therapy, nor is it a substitute for therapy and that it will not prevent, curenor should it be deemed treatment for any mental disorder or medical disease. I acknowledge that this program does not involve thediagnosis or treatment of mental disorders as defined by the American Psychiatric Association and that it should not to be used as asubstitute for counseling, psychotherapy, psychoanalysis, mental health care, substance abuse treatment, or other professional advice bylegal, medical or other qualified professionals and that it is your exclusive responsibility to seek such independent professional guidanceand advice as needed.4.INDEMNIFICATION. I agree to indemnify and defend Humble Warrior Men's Group and its facilitators against all claims, causes of action,damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or myfamily's use of or presence upon the facilities of Humble Warrior Men's Group (and its facilitators).5.APPLICABLE LAW. Any legal or equitable claim that may arise from participation in the above shall be resolved under California law.6.NO DURESS. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given areasonable opportunity to review it before signing. I further agree and acknowledge that I am free to have my own legal counsel review thisAgreement if I so desire.7.ENFORCEABILITY. The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to aparticular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any otherapplications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of thisAgreement.8.DISPUTE RESOLUTION. The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendlynegotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below AlternativeDispute Resolution (ADR) procedure.Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.THE HUMBLE WARRIOR MEN’S GROUP PHOTO RELEASE FORMI hereby grant the Humble Warrior Men’s Group permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.I understand and agree that all photos will become the property of the Humble Warrior Men’s Group and will not be returned.I hereby irrevocably authorize the Humble Warrior Men’s Group to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.I hereby hold harmless, release, and forever discharge the Humble Warrior Men’s Group from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW. I ACCEPT
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