Now Accepting New Clients.
Welcome to the Parent Ceremony! Your safety and comfort is of the utmost importance to me. I request that you participate in only those activities that you are physically, mentally, emotionally, and spiritually able to do, and that you notify me of any restrictions you may have regarding any of the Activities, and I will do my best to accommodate them. Please read the following information carefully and let me know if you have any questions before signing and returning it to me.
I voluntarily desire to participate in the Parent Ceremony (“Event”) organized by Gina Janc, LMFT, PPNE and Becky Gonzalez, CMT, PPNE (the “Facilitator”). In exchange for participation in the Event and/or use of the property, facilities, and services provided during the Event, I agree to the following:
Voluntary Participation & Assumption of Risk. I take full and sole responsibility for my life and well-being and all decisions made before, during and after the Event. I acknowledge that I am choosing to participate voluntarily in the activities at the Event (“Activities”) and I recognize that these Activities, while planned with care and love, may contain certain inherent risks. I agree that I expressly assume the risks of the Event and all Activities in which I participate. I am also aware that if there is any Activity that I am not comfortable participating in, that I may voluntarily decline to participate if I wish.
I have carefully read this document and by signing below I consent to all parts of it. I understand that by signing this Event Waiver, I voluntarily surrender certain legal rights.
Emergency Contact Information: In case of an emergency, I authorize the Facilitator and his/her agents to contact by phone, text, and/or e-mail and convey pertinent details related to the situation: