Participant Release and Waiver of Liability

I have voluntarily requested to participate in the Nervous System Settling Sessions program (the “Program”) to receive up to six free sessions according to the terms herein.

I acknowledge that this is a free program designed to help individuals impacted by local events learn how to reduce stress and anxiety in order to experience more ease in daily life. The Program will focus on  sharing information and exercises for nervous system regulation. 

As a participant in the Program, I will be paired with a volunteer professional qualified to educate on various somatic techniques such as breathing exercises, mindfulness practices, and more. These sessions are for self-growth purposes only, and I agree and acknowledge that they shall not be considered medical treatment or a replacement for therapy. 

As a Participant in this program, I may receive up to six (6) free, one-on-one sessions with my practitioner. Sessions will be virtual unless other arrangements have been made with my provider directly.

In consideration for my participation in this Program, I acknowledge and agree to the following terms and conditions:

I have read and understand this Waiver and understand the scope of the services being offered.

I agree that the services provided are for educational and support purposes only and do not constitute medical treatment or a crisis resource. If I or someone else is in immediate danger or experiencing a medical emergency, I will contact 911 or other appropriate resources. I also acknowledge that additional crisis resources are listed in the attachment hereto.

By participating in this Program, I acknowledge and agree that I am not creating a formal relationship with my Practitioner. These sessions are not a substitute for professional medical care, legal advice, or other professional services. 

These sessions are not a replacement for crisis resources. If I or someone else is in immediate danger, I will seek assistance from appropriate resources. 

I may be entitled to receive up to a total of six (6) pro-bono sessions from my designated Provider.

The number of sessions I receive is not guaranteed and is dependent on my Provider’s availability.  

I have access to a computer device and internet connection as well as a private location where I will be able to participate in virtual sessions with my Practitioner

Participation in the Program does not provide any guarantee of particular results or outcomes. 

Neither the practitioner nor coordinator will maintain any personal health information, notes, or other data about my sessions or health history.

My Practitioner has agreed to treat all sessions provided under the Program as confidential, except to the extent that during my sessions I reveal any information which my Practitioner is legally or ethically required to report to appropriate authorities.

I hereby waive any and all claims against any Practitioner offering services pursuant to the Program as well as any organizers or administrators of the Program (collectively, the “Indemnitees”) that may arise during my participation in the Program. I further agree to indemnify and defend the Indemnitees from any and all claims which may arise from my participation in the Program. 

I further agree that the services being provided pursuant to the Program are pro-bono and voluntary, and as consideration for my participation in the Program I agree that I will not make any complaints against my Practitioner or the coordinators as it relates to the services provided hereunder.