The individual named below (referred to as “I” or “me”) desires to participate in psychoeducation courses and workshops (the “Activity”) provided by Cassandra Carroll, LMHC with offices located at 8 Federal Way, Suite 2 Groveland, MA 01834 (“Provider”). In consideration of being permitted by Provider to participate in the Activity and in recognition of Provider’s reliance hereon, I agree to all the terms and conditions set forth in this instrument (this “Release”). I AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY EMOTIONALLY, MENTALLY, AND PHYSICALLY DEMANDING ACTIVITY AND INVOLVES THE RISK OF PERSONAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, AND/OR FINANCIAL LOSS. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF PROVIDER. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM KNOWINGLY AND VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH AN EXPRESS UNDERSTANDING OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH, AND/OR PROPERTY DAMAGE ARISING FROM MY PARTICIPATION IN THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF PROVIDER OR OTHERWISE. I acknowledge that the Activity is not mental health therapy or any other form of medical therapy. I further acknowledge that Provider will in no event submit invoices to an insurance provider, regardless of whether or not the Activity is included under my insurance coverage. I hereby expressly waive and release any and all claims on account of my participation in the Activity. I agree not to make or bring any such claim against Provider (including any agent or representative of Provider), and forever release and discharge Provider from liability under such claims. This Release constitutes the sole and entire agreement of Provider and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral. If any provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other provision of this Release. This Release is binding on and shall inure to the benefit of Provider and me and our respective heirs, successors, and assigns. All matters arising out of or relating to this Release shall be governed by the laws of the Commonwealth of Massachusetts without giving effect to any choice or conflict of law provision or rule. BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE PROVIDER. I ACKNOWLEDGE THAT PRIOR TO SIGNING THIS AGREEMENT, I HAD THE OPPORTUNITY TO DISCUSS THIS AGREEMENT WITH PROVIDER AND ASK ANY QUESTIONS I MAY HAVE. I AM AT LEAST 18 YEARS OF AGE AND FULLY COMPETENT.