Register for The Alliance's Pro-Recovery virtual support group for individuals experiencing and/or recovering from eating disorders: Saturday, April 17, 2021
We look forward to having you join The Alliance's free, weekly, therapist-led, virtual Support Group for individuals experiencing and/or recovering from eating disorders on Saturday, April 17, 2021 at 11:00 am EST.

Please read and review the release below and submit your information. Once you complete this registration form, we will EMAIL you the log-in information prior to the start of the support group. Registration will close at 9:30am the day of the support group.

The link to join the virtual group will change each week, so please be sure to register in advance of each weekly group. We look forward to speaking with you!


WARNING: READ CAREFULLY. THIS AGREEMENT INCLUDES A WAIVER OF LIABILITY AND LEGAL RIGHTS AND DEPRIVES YOU OF THE RIGHT TO SUE THE ALLIANCE FOR EATING DISORDERS AWARENESS INC (“ALLIANCE”) AND OTHER WAIVED PARTIES.

For and in consideration of allowing me to participate in a virtual support group meeting hosted by The Alliance, 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 this activity is not therapy nor 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, The Alliance 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 virtual support groups.

I agree that I will not share the meeting login information or link with anyone, that I will not allow anyone to share my meeting connection without their individual registration per this page, and will be solely responsible for any breach of these covenants.

By completing this form, you agree to receive periodic emails from The Alliance. Your information will not be shared.
I understand all of the above and agree to the terms. *
Required
I understand that I am required to have my video function available and turned on throughout the meeting. *
Required
I attest I am at least 18 years of age or older. *
Required
First Name *
You must provide your full, legal name for consent purposes.
Last Name *
You must provide your full, legal name for consent purposes.
Preferred Name *
The Alliance recognizes and affirms that your legal name and preferred name may not be the same. Please provide your preferred first name here.
Pronouns
Email Address *
Please provide your full email address. The link to participate in each check-in will be emailed to you about an hour before the check-in begins.
City *
Please provide your city.
State *
Please provide your state. (2 letter abbreviation)
ZIP Code *
Please provide your ZIP code. If you live outside of the United States, enter five zeros.
Country *
Please provide your country.
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