I acknowledge that I am voluntarily participating in an online workshop hosted and organized by Existential-Humanistic Institute, a California Benefit Corporation (hereafter referred to as “EHI, Inc.”). I am aware that, based on the subject matter of this workshop, I might experience strong and difficult emotions, and that this workshop might evoke challenging, personal psychological material. I am voluntarily participating in this workshop with full knowledge of the risks involved, and hereby agree to accept any and all risks of harm that might result from participating in the activities in this workshop.
I understand that due to the format of this online workshop, participants might be broken into small groups or dyads for experiential learning opportunities during which there will be no oversight from the facilitator(s). I understand that this workshop in general, and the break-out groups in particular, will include experiential exercises that might be more likely to evoke emotional - including difficult emotional – reactions than just presentational techniques. Experiential exercise might include role plays in which one or more participants play a therapist or facilitator and one or more participants play a client. I understand that if I role-play the client, I am not an actual client in a therapy session and that the participant(s) practicing psychotherapeutic skills while I am role-playing is not acting as a therapist in an actual therapy session. I understand that these role plays are not actual therapy sessions and that these role plays are for training purposes only. I also understand that I can leave this workshop at any time and that I am not required to participate in any exercises the facilitator suggests.
I agree that if I do have difficult psychological, emotional and/or somatic experiences while participating in this workshop, including in the role plays, I am personally responsible for therapeutically addressing these issues and that EHI, Inc. bears no responsibility. I hereby agree that neither I nor any of my family members or legal representatives will make a claim against or sue EHI, Inc., or its board members, contractors, affiliates, agents or volunteers for injury or damage arising from my participation in this workshop - excepting for clear acts of gross negligence or intentional harm by EHI, Inc.’s board members, contractors, affiliates, agents or volunteers. I hereby release EHI, Inc., its board members, contractors, affiliates, agents and/or volunteers from all actions, claims or demands that I, my family members and/or legal representatives might have or make for injury or damage resulting from my participation in this workshop - excepting for clear acts of gross negligence or intentional harm by EHI Inc.’s board members, contractors, affiliates, agents or volunteers.
I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between me and EHI, Inc., and that my registering for this workshop that will be held May 14-16, 2021 is based on my consent to the above.
I, the undersigned, agree to the terms above.