WAIVER & RELEASE
This free 6-week bootcamp is all about you and becoming your best self. It elegantly weaves together epigenetics, neurobiology, and attachment theory to deftly address effects of transgenerational trauma, team dysfunction and personal blocks. In six weeks, you’ll explore a simple model which will allow you to unpack current or past situations. You’ll use techniques that are well researched by renown pioneers in the fields of neuroscience to reinforce the changes you make each week. And you’ll partner with your peers in learning vulnerability, empathy and trust through ground-breaking visualizations geared to rebuild new neural pathways in the right and left hemispheres.
PLEASE READ THE WAIVER AND RELEASE BELOW:
This program is intended to offer participants significant personal input and insight on its particular subject. It is not psychotherapeutic in nature. Therefore if you have been treated for, or believe you may have suffered from a psychological disorder, you may want to consider if you are in a position to participate in the training. We know of no participant having been harmed by attending an iRestart Training or Bootcamp. However, we must provide this standard Waiver and Release.
As provided in California SB 577 (2002) covering complementary and alternative health care practitioners, the following information is provided: "Neither iRestart and the programs it offers nor those individuals involved in presenting the programs offered by iRestart are licensed by the State of California as a healing arts practitioner."
I have read and understand the above and by signing this waiver and release, hereby assume the risk of my participation in this program. I, on behalf of my heirs, guardians, and legal representatives, do hereby remise, release, and forever discharge iRestart and/or its affiliates, employees, or support staff from any claims, suits, demands or actions arising from or growing out of my participation in the Training.
The Biology of Belonging Bootcamp will be video recorded. I acknowledge my awareness of this fact, and grant my approval to the possibility of being heard and/or video recorded while in the audience or participating in the Biology of Belonging Bootcamp. The video recordings are for the exclusive use of iRestart and will be used for no other purpose without explicit permission. iRestart anticipates that the video recordings, or portions of them, may be used by participants in this training for the purpose of making up for days missed or for review of material presented, for staff review and training, and as a teaching tool in future courses.
We’ll be using an audio program specifically designed to increase your sense of belonging and psychological safety. If you’ve had a seizure in the last 12 months, you will NOT be able to participate in this bootcamp. By joining this bootcamp, you agree that you have not had a seizure in the last 12 months.
If I volunteer to be a demonstration subject, I understand that the objective of the work is educational and not therapeutic. I understand that iRestart is not obligated to provide follow-up therapy, but will furnish referrals if I request them.
Thank you for your cooperation and support in this matter.
By filling out this form and submitting it, you are agreeing to the waiver and release.