Call2Parent MMC Retreat

PARTICIPANT WAIVER AND RELEASE FORM Call2Parent Retreat at Mount Madonna Center September 19-21, 2025

Welcome to the Retreat! I’m so glad to have you join us at Mount Madonna Center for this special weekend focused on healing, connection, and 12-step recovery.

Before we dive in, we just need to cover a few important things to make sure everyone stays safe and well. By signing this form, you’re agreeing to participate in the retreat and acknowledge that you understand and accept certain risks associated with attending. This form is meant to protect both you and me (the host) while keeping things clear and simple. 1. Understanding the Risks By attending the retreat, you know that the main activity will be group meetings/discussions, which could bring up emotional challenges. In addition, participants may personally choose some physical activities (yoga, walks, hikes, or light exercise). While everything we do is designed to be supportive, all personal activities come with some inherent risks. For example, hiking may involve uneven terrain. 2. Accepting Responsibility I, the undersigned Participant, understand that these activities carry some risks—both physical and emotional. I’m participating voluntarily and accept responsibility for my own well-being. If I feel uncomfortable at any time during an activity, I agree to let the host know and step away if needed. 3. Release of Liability I agree that the Host, Mount Madonna Center, and anyone involved with organizing or running the retreat aren’t responsible for any injury, accident, or loss of personal property that happens during the retreat, except in cases of gross negligence. This includes any accidents during travel to or from the event or while on the Mount Madonna property. While we’ll take every step to ensure your safety, life and recovery can be unpredictable, so by participating, I agree not to hold the Host or anyone else responsible for things that might happen. I take full responsibility for my own actions and decisions during the retreat. 4. Health and Well-Being I confirm that I am in good physical and mental health to participate in the retreat activities. If I have any medical conditions or concerns that might affect my participation (physical or emotional), I will let the host know ahead of time. I understand that my participation is my own choice, and I will take responsibility for my health needs. In case of any medical emergency, I give permission for the host to seek medical help on my behalf if needed. I understand I’m responsible for the costs of any medical treatment. 5. Personal Property I understand that the retreat is held in a natural setting, and while we’ll be as careful as possible, the Host and Mount Madonna Center are not responsible for lost or damaged property. I will make sure to keep my valuables secure. 6. Media Consent I’m okay with the host taking photos or videos during the retreat that might be used for future promotions or materials related to the retreat. If I’m uncomfortable with this, I’ll let the host know ahead of time. 7. Respectful Behavior As we come together in this recovery-focused space, I agree to show respect for myself and others. I understand that if my behavior disrupts the retreat or makes others feel unsafe, I may be asked to leave the event. The goal is to maintain a supportive, healing environment for everyone. I have read and understand this waiver. By clicking “I AGREE” below, I agree to participate in the retreat, understanding the risks, and accepting responsibility for my actions and well-being. Thnak you for your agreement…!