Release and Waiver of Liability
I, the undersigned, acknowledge that my participation in activities, services, and events hosted by
Source One Serenity (“SOS”) may result in injury or harm and that I am voluntarily participating with full
knowledge of the risks involved. The risks include but are not limited to:
● Uneven or slippery surfaces
● Slips, trips, and falls
● Light physical activity
● Exposure to weather conditions (rain, sun,
wind)
● Food allergies or foodborne illnesses
● Insect bites or stings
● Allergic reactions to plants or animal
● Contact with wildlife, livestock, and domestic
animals
● Loud noises affecting hearing
● Dehydration or heat exhaustion
● Limited access to medical treatment
● Limited restroom facilities
● Limited visibility in low light conditions
● Potential for theft or loss of personal items
1. Release of Liability: In consideration of being allowed to participate in the activities, I hereby
release, waive, and discharge SOS, its officers, employees, and agents, as well as partner
organizations, from all liability, claims, demands, or actions arising out of any loss, damage, or injury,
including death, that may be sustained by me, or to any property belonging to me, while participating in
SOS events, services, and activities.
2. Commitment to a Drug and Alcohol-Free Environment: I acknowledge that SOS maintains a
strict drug and alcohol-free policy during all activities. Being under the influence of alcohol or illegal drugs (as classified under federal, state, or local laws), including marijuana, poses serious risks to my safety and the safety of others. Therefore, I agree not to consume alcohol or be under the influence of drugs before or during any SOS activities.
3. Indemnification: I agree to indemnify and hold harmless SOS from any loss, liability, damage, or costs, including court costs and attorney fees, that may occur due to my participation in the activities.
4. Peer Support Services: I understand that participation in peer support sessions is entirely voluntary, and I may withdraw at any time. I acknowledge that peer support sessions may involve discussions of sensitive topics and personal experiences, and I assume all risks associated with these activities, including any emotional or psychological impacts. I understand that SOS will make reasonable efforts to maintain confidentiality, but I understand that absolute confidentiality cannot be guaranteed. I acknowledge that peer support specialists are not licensed therapists or counselors, and the sessions are not a substitute for professional mental health services.
5. Photo and Video Release: I grant SOS the right to take photographs and record videos of me. I authorize the use of such images and recordings for educational and promotional purposes, including
but not limited to social media, website, and marketing materials, without compensation.
6. Medical Treatment: I consent to receive medical treatment deemed necessary if I am injured or
require medical attention during my participation in the activities.
7. Acknowledgment of Understanding: I have read this waiver and release of liability and fully understand its terms. By checking this box, I acknowledge that I am agreeing freely and voluntarily, and that this selection serves as my electronic signature, releasing all liability to the greatest extent allowed by law: *
