NoLimits Expert Series Webinar Registration

Participant Name*

First NameLast Name

E-mail*

example@example.com

Webinars*

Which organization are you from?*

What are you hoping to learn in this webinar?*

I am under 18I am over 18

SBHANA NoLimits Expert Series Webinar
Consent and Agreement (age 16 to 18) Parental Consent form:
By signing this form, I confirm that my child who is 16 or older is allowed to attend a NoLimits Expert Series Webinar:
I understand that this online event will cover topics related to sexual health, mental health, travelling and other topics related to living with spina bifida and/or hydrocephalus and will be done in a respectful, educational, and age-appropriate manner.
I acknowledge that participation is voluntary, and I can choose to leave the session at any time.
I understand that the event may include discussions on sensitive topics and that facilitators will create a safe and inclusive environment.
I will not record, screenshot, or share any part of the session to protect participant privacy.
I acknowledge that all individuals' names and information shared during the session are confidential. Participants are prohibited from sharing any sensitive information discussed within the group, either during or after the session, to protect everyone's privacy.
I confirm that my child, who is under 18 years of age but between the ages of 16 and 18, has my permission to attend the NoLimits Expert Series Webinar.

For questions or concerns, please contact: Morgan at Morgan@sbhana.org

Parent/Guardian First Name*   Parent/Guardian Last Name*
Signature*
Date*

SBHANA NoLimits Expert Series Webinar
Consent and Agreement (18 and Over)
By signing this form, I confirm that I am 18 years or older and consent to participate in the NoLimits Expert Series Webinar.
I understand that this online event will cover topics such as sexual health, mental health, travel, and other aspects of living with spina bifida and/or hydrocephalus in a respectful, educational, and age-appropriate manner.
I acknowledge that participation is voluntary, and I may leave the session at any time.
I understand that discussions may include sensitive topics, and facilitators will ensure a safe and inclusive environment.
I will not record, screenshot, or share any part of the session to protect participant privacy.
I acknowledge that all individuals' names and information shared during the session are confidential. Participants are prohibited from sharing any sensitive information discussed within the group, either during or after the session, to protect everyone's privacy.

First Name*   Last Name*
Signature*
Date*

NoLimits Expert Series Webinar Registration Form