Neurospicy SA — Member Agreement & Event Waiver

Neurospicy SA — Member Agreement & Event Waiver
Welcome to Neurospicy SA! This single form is your Member Participation Agreement AND Standing Event Waiver. Complete it once — it covers all programs and every event you attend, now and in the future.
Full Name
Eligibility and Agreement
Program and Service Interests
Community Agreement and Code of Conduct
The following rules apply at every Neurospicy SA program and event — in person and online. Check each box to confirm your agreement.
I will treat all members, volunteers, staff, and guests with dignity, kindness, and respect at all times
I will not engage in harassment, bullying, discrimination, or threatening behavior of any kind
I will not make unwanted physical contact with any person — I will always ask before touching
I will not stalk or make persistent unwanted contact with any member, guest, volunteer, or staff in person or online
I will not share another person's personal information without their explicit consent
I will not send unsolicited romantic or sexual messages or make advances toward other participants
I will follow all instructions from Neurospicy SA staff, volunteers, and event hosts
I will not use or possess illegal substances at any Neurospicy SA event or venue
I will not bring uninvited guests to private events without prior written approval from the Executive Director
I understand violations may result in verbal warning, written warning, suspension, or permanent ban
Preferred Name or Nickname
Date of Birth (must be 18 or older)

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City and Zip Code
Membership and Event Participation
I understand membership is a privilege and may be denied or revoked at any time
I will RSVP truthfully and only attend events I have been approved for
I understand disruptive or unsafe behavior at any event may result in being asked to leave immediately
I understand incidents are documented and may affect my ability to attend future events
I confirm I have NOT been permanently banned from Neurospicy SA — I understand attending while banned is a violation that will be reported
Liability Waiver
Neurospicy SA is a peer community organization and does not provide licensed mental health, medical, legal, or clinical services. My participation is entirely voluntary. To the fullest extent permitted by Texas law, I release Neurospicy SA and its officers, directors, board members, volunteers, and staff from any and all liability for injury, loss, damage, or claims arising from my participation in any current or future Neurospicy SA program or event.
I have read and agree to the Liability Waiver above
Photo and Video Consent
Neurospicy SA may photograph or video-record events for organizational use. You may withdraw consent at any time by notifying info@neurospicysa.org.
Photo and Video Preference
Final Confirmations
I certify that all information I have provided is truthful and accurate
I have read this entire form and understand all terms
I agree this form serves as both my Member Participation Agreement and Standing Event Waiver for all future Neurospicy SA events
Digital Signature
By typing your full legal name below you are providing your digital signature. You confirm that you have read, understood, and agreed to every section of this form — including the Member Participation Agreement, Code of Conduct, and Standing Event Waiver. This agreement is governed by the laws of the State of Texas and is valid for all Neurospicy SA programs and events from this date forward. Questions? Contact info@neurospicysa.org
Full Legal Name — Digital Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Neurospicy SA — Member Agreement & Event Waiver

Community Agreement and Code of Conduct

Membership and Event Participation

Liability Waiver

Photo and Video Consent

Final Confirmations

Digital Signature