Liability, Participation Agreement
& Media Release for Adults
Enrolled as Back2Youth Participants
in Family Empowerment Camps

To DOWNLOAD a PDF for your records and/or physical or E-signature - CLICK HERE

*Be sure to read through and acknowledge your agreement with our Liability, Participation & Media Release Requirements before checking the box in the registration form that confirms this agreement, when registering for our upcoming Family Empowerment Camp(s). Your registration form submission and checkbox confirmation, confirm your full awareness and agreement to the following terms of participation, your release of liability to Back2Youth and its’ staff, affiliates and community partners, and a media release for Back2Youth’s use on their website and social media channels, advertisements and/or other public disclosure(s) as Back2Youth sees fit.

We want to be clear, we are
not licensed therapists, clinicians or medical professionals.
The information provided in our camps, through this website and/or our social media channels, is for educational and informational purposes only, and is offered solely as a self-help tool for your own use and discernment. We are not, nor are we presenting ourselves as, any licensed medical professional ("Medical Provider"), psychiatrist, psychologist, therapist, social worker ("Mental Health Provider") or member of the clergy.

The information provided in or through our camps, staff, community partners and online platforms pertaining to you and/or your child's life is not intended to be a substitute for professional medical advice, diagnosis or treatment provided by your own Medical Provider or Mental Health Provider. In registering for this Family Empowerment Camp, you agree and acknowledge that we are not providing medical advice, mental health advice, or religious advice in any way. Always seek the advice of your own Medical Provider and/or Mental Health Provider regarding any questions or concerns you have about your specific health, and before implementing any recommendations or suggestions from our camps, staff, website or online channels. Do not disregard medical advice or delay seeking medical advice because of information you have learned in camp or read on this website.

DISCLAIMER: The information and meditations found on this website, or offered in our camp events, is not a replacement for or a form of therapy, nor is it intended to cure, treat, or diagnose medical conditions.  Back2Youth and it’s affiliates are not medical professionals.

By participating in camp you agree to not hold Back2Youth or it’s affiliates, staff, representatives or community partners liable in any way, shape or form. You agree that we cannot take any responsibility for the results of your actions and any perceived harm or damage you could suffer as a result of the use, or non-use of the information available [in our camps, and through this website/other online material].
Use your thoughtful discernment, and conduct due diligence before taking any action, or implementing any plan or practice suggested or recommended. Please note that we don’t make any guarantees about the results of the information provided or applied. We will share educational and informational resources that are intended to help you succeed through creating a greater sense of well being. However, you acknowledge that your ultimate success (or failure) will be the result of your own efforts, your particular situation, and innumerable other circumstances beyond our knowledge and control.


LIABILITY RELEASE

READ BEFORE SIGNING UP/REGISTERING YOURSELF (FAMILY EMPOWERMENT CAMP)
AND/OR YOUTH FOR EVENTS.

YOUR REGISTRATION/APPLICATION WILL REQUIRE YOU TO ACKNOWLEDGE, THAT
YOU HAVE READ, UNDERSTOOD & AGREED TO OUR LIABILITY TERMS PROVIDED HERE AND THAT YOU HAVE DONE SO KNOWINGLY, WILLINGLY AND VOLUNTARILY.

IN CONSIDERATION OF my own participation in any way in Back2Youth; and their related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and/or exposure to potential illness from the activities involved in these programs are significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of injury and illness do still exist; and,

  1. FOR MYSELF, SPOUSE/PARTNER/CO-PARENT/CO-GUARDIAN, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my own participation; and,

  2. I willingly agree to comply with the program’s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my own readiness for participation and/or in the program itself, I will remove myself from the participation and bring such attention of the nearest official immediately; and,

  3. I myself, my spouse/partner, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Back2Youth; its directors, officers, officials, agents, employees, volunteers, affiliates, community partners, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property incident to my own involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

  4. I, for myself, my spouse/partner/co-parent/co-guardian, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releases from any and all liabilities incident to my involvement or participation in these programs, to the fullest extent permitted by law.

  5. I acknowledge that the information and meditations found on this website, or offered in our camp events, is not a replacement for or a form of therapy, nor is it intended to cure, treat, or diagnose any medical conditions, and that Back2Youth and it’s affiliates are not medical professionals. In registering for Back2Youth camps/events [or using our website or other online materials], you agree and acknowledge that we are not providing medical advice, mental health advice, or religious advice in any way. 

  6. I, [the registered camp/event participant], assert that I acknowledge and understand the risks of the activity/event, and take full ownership for my own responsibilities for adhering to the rules and regulations of the activity/event and event organizers.

I, FOR MYSELF, MY SPOUSE/PARTNER/CO-PARENT/CO-GUARDIAN, AND CHILD/WARD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP SUBSTANTIAL RIGHTS BY REGISTERING/APPLYING FOR A BACK2YOUTH EVENT AND THAT WE HAVE DONE SO FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.


MEDIA CONSENT ACKNOWLEDGMENT & RELEASE

Please note: opting out of our media release will not affect your opportunity to participate in any of our activities or events.

I give consent to having myself photographed and/or interviewed by theBack2Youth Team, and/or news or media partners or outlets. I recognize these photographs, videos and/or interviews may be used for educational, data analysis and/or promotional purposes.

I, FOR MYSELF, MY SPOUSE/PARTNER/CO-PARENT/CO-GUARDIAN, AND CHILD, HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT WE HAVE GIVEN UP PRIVACY RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

*You will see in the registration form that there is a box to select in order to OPT OUT of this media release.
We will honor all privacy laws to the best of our ability. Your information and your child’s information and/or identity will not be sold to third parties at any time.


If you have any additional questions or concerns about our terms for camp events and participation, please
contact us directly. Thank you! - The Back2Youth Team