Speak Your Mind Virtual Liability Waiver  Logo
  • Welcome to Speak Your Mind Activities

  • Participant Information

  • Demographic Info

    Why we ask: Collecting this information helps us determine and maintain our charitable organization status. They are not required but do help us a lot if you have an extra minute to answer them. 
  • Speak Your Mind Virtual Support Group Liability Waiver

    (EIN 99-2068734)
  • By participating in any virtual support group organized by Speak Your Mind, I acknowledge and agree to the following:


    1. Release of Liability

    I voluntarily participate in this virtual support group and fully release Speak Your Mind, its organizers, facilitators, employees, volunteers, and affiliates (collectively, the "Released Parties") from any claims, damages, or liabilities arising from my participation. I understand that the Released Parties are not responsible for any emotional distress, technological issues, or other unforeseen circumstances that may occur.


    2. Assumption of Risk

    I acknowledge that discussing personal topics in a virtual setting may carry emotional risks, including discomfort, distress, or unexpected reactions. I voluntarily assume these risks and understand that participation is optional. I can choose to leave the session at any time.

    3. Confidentiality & Privacy

    I agree to respect the privacy of all participants and not record, share, or disclose any personal information discussed during sessions. While Speak Your Mind strives to create a safe and supportive environment, I acknowledge that absolute confidentiality cannot be guaranteed in an online setting.

    4. Not a Substitute for Professional Help

    I understand that these virtual support groups are for peer connection and general mental wellness support, not professional therapy or crisis intervention. If I need medical, psychological, or emergency support, I will seek appropriate professional services.

    5. Governing Law

    This agreement is governed by the laws of the state where Speak Your Mind is registered. If any part of this agreement is found to be unenforceable, the remaining sections will remain in full effect.

    6. Agreement to Terms

    By signing below or participating in this virtual group, I confirm that I have read and understood this waiver, and I voluntarily agree to its terms.

  • I acknowledge that I have carefully read this form and fully understand that my e-signature (below) is a legally binding release of liability. I expressly agree to release and discharge the Speak Your Mind organization, group leader, sponsor, fellow participants, and any other affiliated party from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage. 

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