Woman Within Skills Workshop Registration

With the check box below, you are agreeing to the following release agreements:

I understand that this workshop is educational in nature and not a substitution for therapy.

I voluntarily consent to participate in this workshop.

I understand that, in addition to the benefit, there is always the risk of emotional and/or medical contingencies in such a group experience. I assume the risk by this consent, of any accident or injury to myself or inflicted by me during or after this workshop related to the material presented, and I hereby release the presenters, staff, and Woman Within International, Ltd. from liability therefore.

I agree to keep the confidentiality of all that we do and hear of a personal nature.

Without limitation, Woman Within Western USA, is not responsible or liable for bodily injury, death, delays, changes or losses caused by, but not limited to acts of God, war, pandemics, threat of war, closure of airports, civil strife, natural disasters, accidents or any other events beyond or within our control; participants' injuries, illnesses, medical or psychiatric conditions developed during or subsequent to events sponsored by Woman Within Western USA; loss of/or damage to personal property of participants.

When written advance notice of cancellation is given to Woman Within Western USA Program Director at programdirector@womanwithinwesternusa.org greater than 30 days prior to the event, all but $100 of paid fee will be refunded. Registration cancellations received 30 days or fewer, and event “no-shows”, are not eligible to receive a refund or transfer of any kind. Should Woman Within cancel the workshop/event, all registrants receive full refund of fees paid.

With the check box below, you confirm that all information provided in this form is true and correct and that you fully understand and accept the information, terms, and conditions outlined on this form.