Mothers Solace
Participant Consent, Release & Waiver
Mothers Solace is a community gathering created to provide mothers and young children with a gentle, supportive space to connect, move, play, and spend time together in nature.By participating in Mothers Solace, I acknowledge and agree to the following:
1. Participation & Activities
I understand that Mothers Solace gatherings may include gentle movement, stretching, breathwork, mindfulness, walking, nature-based activities, outdoor play, and other recreational or community activities.I understand that participation is voluntary and that I may choose not to participate in any activity that does not feel appropriate for myself or my child.
2. Acknowledgment of Risk
I understand that participation in movement and outdoor activities carries inherent and ordinary risks. These may include, but are not limited to, falls, trips, bumps, minor injuries, uneven or slippery surfaces, contact with plants or insects, weather conditions, and other risks associated with being outdoors and participating in physical or recreational activities.I voluntarily assume the ordinary risks associated with participation in Mothers Solace.
3. Children & Parental Responsibility
If I attend with a child or children, I confirm that I am the child’s parent or legal guardian, or that I have authorization from the child’s parent or legal guardian to provide consent for participation.I understand that Mothers Solace is not a licensed childcare facility and that the presence of a children’s guide or activity facilitator does not transfer parental responsibility or create a childcare relationship unless expressly stated otherwise.I remain responsible for my child’s safety, supervision, and participation throughout the gathering.I agree to remain attentive to my child and to intervene whenever I believe an activity or situation is not appropriate for them.
4. Health & Medical Information
I confirm that I am responsible for determining whether participation is appropriate for myself and my child.I agree to disclose any relevant allergies, medical considerations, physical limitations, developmental needs, or other circumstances that may affect participation.I understand that Mothers Solace organizers and facilitators are not medical professionals and do not provide medical advice or treatment.
5. Emergency Medical Authorization
In the event of an emergency, I authorize Mothers Solace organizers or facilitators to seek reasonable emergency medical assistance for myself or my child when I cannot reasonably do so myself.I understand that Mothers Solace is not responsible for medical expenses incurred as a result of emergency care or treatment.
6. Release & Waiver
To the fullest extent permitted by California law, I voluntarily release and agree to hold harmless Mothers Solace, its organizers, facilitators, activity leaders, volunteers, and participating partners from claims, demands, or causes of action arising out of or related to my or my child’s participation in Mothers Solace, including claims arising from the ordinary risks associated with the activities described above.I understand that this release is not intended to waive any rights or claims that cannot legally be waived under California law.
7. Personal Belongings
I understand that I am responsible for my personal belongings and those of my child. Mothers Solace is not responsible for lost, stolen, or damaged personal property.
8. Photo & Video Consent
From time to time, photographs or videos may be taken during Mothers Solace gatherings for documentation or promotional purposes.
Type a question
YES — I give Mothers Solace permission to photograph or record me and/or my child and to use those images or recordings for Mothers Solace website, social media, promotional materials, or other communications.
NO — I do not give permission for Mothers Solace to photograph or record me and/or my child.
9. Acknowledgment & Agreement
By submitting this form, I confirm that: I have read and understand this Participant Consent, Release & Waiver.I understand the nature of the activities and the ordinary risks involved. I am voluntarily choosing to participate. I am the parent or legal guardian of the child/children listed below, or have appropriate authorization to provide consent.I agree to the terms of this release to the fullest extent permitted by California law.
Name
First Name
Last Name
Child/Childrens name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Electronic Signature
By typing my full legal name below, I acknowledge that this constitutes my electronic signature and that I intend to be legally bound by this agreement.
Signature
Type a question
I have read, understand, and agree to the Mothers Solace Participant Consent, Release & Waiver.
Submit
Should be Empty: