PARTICIPANT RELEASE OF LIABILITY & CONSENT AGREEMENT
This Informed Consent, Assumption of Risk, and Release of Liability Agreement (“Release”) is entered into on the same day as the event registration purchase date through the SUPERLYSAM LLC. registration portal (“Effective Date”) between Samantha Lee, owner of SUPERLYSAM LLC., hereafter referred to as “Facilitator,” and the registered participant listed in the purchase (“Participant”).
EVENT DESCRIPTION
The Participant understands that they are registering for a Community Care Circle workshop, which may include activities such as:
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Gentle stretching or movement exercises
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Art expression activities (such as painting or drawing)
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Group reflection and guided conversations related to mental health and community well-being
The workshop is intended for community support, reflection, and wellness, and is not a substitute for medical care, therapy, or professional mental health treatment.
MENTAL HEALTH DISCLAIMER
This workshop may include guided discussions related to stress, emotional well-being, and mental health topics facilitated by a licensed therapist and wellness professionals. However, the Participant understands and agrees that this event is not therapy, counseling, or psychological treatment.
Participation in this workshop does not establish a therapist–client relationship between the Participant and any therapist or facilitator present.
The information, conversations, and activities provided during this workshop are intended for educational, reflective, and community support purposes only and should not be considered medical or mental health advice.
Participants are encouraged to seek support from a licensed mental health professional, physician, or other qualified provider for any personal mental health concerns, diagnosis, or treatment.
Participants acknowledge that discussions during the workshop may involve emotionally sensitive topics. Each Participant is responsible for engaging at their own comfort level and may choose to step away from any activity or discussion at any time.
INFORMED CONSENT
The Participant acknowledges and agrees to the following:
Physical Condition
Participant confirms they are in adequate physical condition to participate in light movement or stretching activities and understand participation is voluntary.
Emotional Well-Being
Participant understands that discussions during the workshop may touch on emotionally sensitive topics related to stress, community challenges, or mental health. Participant agrees to engage at their own comfort level and may step away at any time.
Assumption of Risk
Participant understands that participation in movement activities and group discussions carries potential risks, including physical discomfort or emotional responses, and voluntarily assumes all associated risks.
Reporting Discomfort
Participant agrees to immediately inform the Facilitator if they experience physical pain, discomfort, emotional distress, or any concern during the event.
Personal Responsibility
Participant understands they are responsible for their own well-being during the workshop and may modify, pause, or decline any activity at any time.
Indemnification
Participant agrees not to hold SUPERLYSAM LLC., Samantha Lee, co-facilitators, venue staff, or affiliates liable for any injury, emotional distress, illness, or damages that may occur during or as a result of participating in the event.
COMMUNITY RESPECT & CONFIDENTIALITY AGREEMENT
SUPERLYSAM LLC. is committed to creating a respectful, supportive, and safe environment for all participants.
By participating in this workshop, the Participant agrees to contribute to a space that prioritizes respect, compassion, and personal boundaries.
Participants acknowledge the following:
Confidentiality
Participants agree to respect the privacy of others in the workshop. Personal stories, experiences, or reflections shared by participants during discussions should not be shared outside of the event without the explicit permission of the individual who shared them.
Voluntary Participation
Participants are encouraged to engage in discussions and activities at their own comfort level. Sharing personal experiences is optional, and participants may choose to observe or step away at any time.
Respectful Environment
Participants agree to listen respectfully and avoid judgment, criticism, or harmful language toward others in the space.
SUPERLYSAM LLC. reserves the right to remove any participant who engages in behavior that disrupts the safety or respect of the group.
WAIVER OF LIABILITY
Participant understands that the workshop may involve light physical activity and reflective discussion that may involve physical movement or emotional processing. Participant acknowledges that these activities may involve inherent risks.
Participant voluntarily agrees to participate and assumes full responsibility for any risks, injuries, or damages—known or unknown—that may occur as a result of participating in the workshop.
Participant knowingly and voluntarily waives any claims against SUPERLYSAM LLC., Samantha Lee, collaborating facilitators, and the venue for any injuries, emotional distress, or damages sustained during or after participation.
Participant acknowledges that it is their responsibility to consult with a physician or licensed professional if they have concerns about participating in physical movement or emotional wellness activities.
INTELLECTUAL PROPERTY RIGHTS
All materials, exercises, workshop frameworks, and content created and presented by SUPERLYSAM LLC. remain the intellectual property of Samantha Lee and SUPERLYSAM LLC.
Participants may use any provided materials for personal use only and may not reproduce, distribute, or commercially use workshop materials without written permission.
Violation of this policy may result in removal from the event without refund.
PHOTO / VIDEO RELEASE
Participant authorizes SUPERLYSAM LLC. to photograph or record portions of the event for educational, promotional, or marketing purposes.
Participant grants permission for SUPERLYSAM LLC. to use photographs or videos that may include their likeness for promotional materials including, but not limited to:
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Social media
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Websites
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Marketing materials
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Publications
Participant understands they will not receive compensation for the use of these materials.
All media collected becomes the property of SUPERLYSAM LLC. and may be used for lawful purposes related to the business.
Participant waives any claims, rights, or compensation related to the use of these photos or videos.