PARTICIPATION AGREEMENT & RELEASE OF LIABILITY
READ CAREFULLY THIS AGREEMENT INCLUDES A WAIVER OF LIABILITY AND LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE PINKMANTARAY LLC AND/OR SCHUYLER BAILAR AND OTHER WAIVED PARTIES.
For and in consideration of allowing me to participate in individual and/or group support sessions (“Support Sessions”) convened by Schuyler Bailar and/or Pinkmantaray, LLC, I, for myself, and on behalf of my spouse, children, parents, guardians, heirs and next of kin, and any legal and personal representatives, executors, administrators,successors and assigns, hereby agree to and make the following contractual representations:
I understand and acknowledge that Schuyler Bailar is not a licensed mental health professional, that this activity is not therapy, not a therapeutic session and not a therapeutic group, and that no client/therapist relationship is formed by my participation.
The information provided to me is educational only and does not constitute the provision of medical, psychological or other professional health care treatment services.
In exchange for allowing me to participate, I hereby waive and covenant not to sue, and further agree to indemnify, defend, and hold harmless, Schuyler Bailar, Pinkmantaray, LLC and its officers, directors, employees, contractors, and volunteers (collectively, the “Waived Parties”), from any and all liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense, including court costs and reasonable attorney’s fees of any kind or nature whatsoever (together and separately, “Liability”) which may arise out of, result from, or relate to my participation. I further agree that if, despite this Agreement, I, or anyone on my behalf, make a claim for Liability against any of the Waived Parties, I will indemnify, defend, and hold harmless the Waived Parties from any such Liability which may be incurred as a result of such a claim that I might have against the Waived Parties or anyone associated with the Support Session(s).
I agree that I will not share Support Session(s) access information (web link, URL, password, addresses, telephone numbers etc.) with anyone and that I will not allow anyone to share my Support Session connection without informing Schuyler Bailar and without their individual registration per this page and will be solely responsible for any breach of these covenants.