PARTICIPANT AGREEMENT: WAIVER, PRIVACY, AND DISCLOSURES
Instructors: Wild Movement Therapy PLLC (led by Katie Wild) & Jenna Caggiano PLLC
Location: Facility rented and secured by Wild Movement Therapy PLLC
Please read this document carefully. By digitally signing during your online registration, you agree to all terms required to participate in this event.
PART 1: PARTICIPANT RELEASE AND WAIVER OF LIABILITY
1. WORKSHOP SCOPE AND DISCLAIMER (NOT CLINICAL THERAPY)
I understand that this workshop hosted by Wild Movement Therapy PLLC (led by Katie Wild) and Jenna Caggiano PLLC (collectively referred to as "the Instructors") is an educational, experiential, and dance/movement therapy-informed group. I acknowledge that this workshop does not constitute clinical psychotherapy, medical treatment, or mental health counseling. It is not a replacement for individualized medical care, psychiatric treatment, or psychological therapy.
2. VOLUNTARY PARTICIPATION AND ASSUMPTION OF RISK
I freely choose to participate in this movement workshop. I understand that the activities involve physical movement, stretching, cardiovascular exertion (increased heart rate, rapid breathing), and emotional expression. I fully accept all risks of physical injury, muscle strain, cardiac stress, or illness that may happen during these activities.
3. PERSONAL RESPONSIBILITY AND HEALTH STATUS
I certify that I am at least 18 years old and in good health to participate. I agree to monitor my own physical limits during the workshop. I will stop any movement that causes pain or discomfort. It is my responsibility to inform the Instructors of any physical limitations or injuries before the session begins.
4. COMPLETE WAIVER OF LIABILITY, RELEASE OF NEGLIGENCE, AND INDEMNIFICATION
BY SIGNING BELOW, I AGREE TO RELEASE, WAIVE, AND FOREVER HOLD HARMLESS WILD MOVEMENT THERAPY PLLC, KATIE WILD, JENNA CAGGIANO PLLC, AND THEIR RESPECTIVE MEMBERS, MANAGERS, EMPLOYEES, INDEPENDENT CONTRACTORS, AND THE OWNERS/LESSORS OF THE RENTED FACILITY (COLLECTIVELY, THE "RELEASED PARTIES") FROM ANY AND ALL LEGAL CLAIMS, DEMANDS, OR LAWSUITS FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH RESULTING FROM MY PARTICIPATION IN THIS WORKSHOP.
THIS RELEASE EXPLICITLY INCLUDES CLAIMS BASED ON THE ORDINARY NEGLIGENCE OF THE RELEASED PARTIES, TO THE MAXIMUM EXTENT PERMITTED BY WASHINGTON STATE LAW, BUT EXCLUDES CLAIMS BASED ON GROSS NEGLIGENCE OR WILLFUL MISCONDUCT.
I FURTHER AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY AND ALL CLAIMS, LOSSES, OR LIABILITY (INCLUDING COURT COSTS AND ATTORNEYS' FEES) ARISING OUT OF OR RESULTING FROM MY OWN ACTIONS, CONDUCT, OR PARTICIPATION IN THIS EVENT.
5. MEDICAL COSTS AND EMERGENCY CARE
I am solely responsible for all medical costs if I am injured. The Instructors do not provide medical insurance. If an emergency happens, I give the Instructors permission to call for emergency medical help.
6. COMMUNICABLE DISEASE AND ILLNESS RELEASE
I acknowledge the contagious nature of illnesses like COVID-19, flu, and other communicable diseases. I confirm that I will not attend the workshop if I am experiencing symptoms of illness, have a fever, or have been recently exposed to someone with a contagious disease. I knowingly assume the risk of exposure to illness by participating in this in-person group. I release the Instructors from any liability related to illness or infection.
PART 2: TRAUMA-INFORMED CARE AND PRIVACY AGREEMENT
1. EMOTIONAL SAFETY, AGENCY, AND SELF-REGULATION
Dance/movement therapy-informed practices can bring up deep emotions, memories, and physical sensations. I understand that I am in complete control of my own experiential process. I have the right to modify any movement, pause, or step away from the group at any time to care for my emotional well-being. The Instructors are here to guide me, but I am the ultimate expert on my own body and comfort level.
2. POLICY ON PHYSICAL TOUCH
This workshop prioritizes physical boundaries and consent. I understand that all partner movements or group interactions require explicit consent. The Instructors will not use hands-on physical adjustments without my clear permission. I agree to respect the physical boundaries and personal space of all other participants at all times.
3. SAFE SPACE AND PARTICIPANT CONFIDENTIALITY
To create a safe group environment, I agree to keep everything shared by other participants completely confidential. I will not share other participants' names, stories, or personal experiences outside of this group.
4. DATA PRIVACY AND SECURE STORAGE
The Instructors collect my name, email, phone number, and emergency contact solely to manage this event. This information is stored securely on password-protected digital platforms. My data will never be sold, traded, or shared with third parties.
5. MEDIA AND RECORDING CONSENT
I understand that photography, audio, or video recordings may be taken during this workshop for promotional, educational, or marketing purposes. By signing this agreement, I grant the Instructors the irrevocable right to use my image, likeness, voice, or appearance in any photos or videos taken during the event without compensation.
Opt-Out Provision: If I do not wish to be photographed or recorded, I agree to notify the Instructors in writing via email at least 24 hours prior to the event. I acknowledge that it is also my responsibility to identify myself to the Instructors at the start of the workshop so they can accommodate my preference.
6. REGISTRATION, CANCELLATION, AND REFUND POLICY
I understand that space in this workshop is limited and my registration secures my spot. All ticket sales are final, non-refundable, and non-transferable under any circumstances, including personal schedule changes, illness, or failure to attend. If I need to cancel my attendance, I will make an effort to notify the Instructors so they may offer my spot to another participant. If the Instructors need to cancel the workshop, participants will receive a full refund or the option to reschedule for a future date.
PART 3: LEGAL BOILERPLATE AND ENFORCEMENT
1. SEVERABILITY
If any term, provision, or section of this Agreement is held to be invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect.
2. GOVERNING LAW AND JURISDICTION
This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. Any legal action or proceeding arising under this Agreement must be brought exclusively in the courts located in Pierce County Washington.
3. ENTIRE AGREEMENT
This Agreement constitutes the entire understanding between the parties regarding the subject matter herein and supersedes all prior discussions, agreements, or understandings, whether oral or written.