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Workshop Registration

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Guardian Name
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Liability Waiver: By purchasing coaching services from your Coach, you confirm that you have read and agree to each statement and that you wish to proceed: I understand that the coaching services my athlete will be receiving from their Coach are not offered as a substitute for professional mental health care or medical care and are not intended to diagnose, treat or cure any mental health or medical conditions. I also understand that their Coach is not acting as a mental health counselor or a medical professional. I understand that coaching is, at present, an unregulated industry and that my Coach is not licensed by the State of Oregon or any other state. I also understand that for all legal purposes, the services provided by my Coach will be considered to be provided in the State of Oregon. I understand that coaching is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of therapy. I understand that all comments and ideas offered by my Coach are solely for the purpose of aiding in achieving my defined goals. I have the ability to give my informed consent, and hereby give such consent to my coach to assist me in achieving such goals. I understand that to the extent our work together involves my sport, my Coach is not promising outcomes. I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype and other technology. I hereby release, waive, acquit and forever discharge my Coach, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Coach as a result of the advice given by my Coach or otherwise resulting from the coaching relationship contemplated by this agreement. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
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