Peer Support Group Acknowledgement and Release
What a Peer Support Group Is
I wish to participate in the Bloom Foundation, Inc. (“Bloom”) [online support group description] (“Support Group”). I understand that the Bloom volunteer facilitating this Support Group is a peer support volunteer (“Peer Supporter”).
I understand that a Peer Supporter is someone who has knowledge from her own experiences with a maternal mental health issue. A peer supporter can listen, share her own experience and offer hope. A Peer Supporter can provide emotional support, which includes validating my experience and offering empathy. A Peer Supporter can also offer practical support, which includes letting me know about the resources that exist to help me.
What Peer Support Isn’t
A Peer Supporter is not a trained medical professional. I fully understand that only trained medical professionals can provide treatment, counseling, prescribe medication or otherwise give medical advice. I acknowledge that I am solely responsible for my health and safety and for seeking appropriate medical advice when necessary.
The Terms our Lawyers Say We Must Include
I hereby release, discharge and covenant not to sue Bloom, their administrators, directors, agents, officers, volunteers, employees, other participants, sponsors, advertisers (“Releasees”) from all liability, claims, demands, losses, or damages alleged to be caused in whole or in part by the Support Group. I further agree that if, despite this release and waiver of liability, I or anyone on my behalf makes a claim against any of the releasees, I will indemnify and save and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage or cost which may incur as the result of such a claim.
I have read this Release, fully understand its terms, and understand that I have given up rights by signing it and have signed it freely and without any induction or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. I agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force. I agree that this Release constitutes the entire agreement between me and Bloom with regard to the Support Group supersedes any prior written or oral agreement concerning the subject matter herein.
I agree that electronic submission of this Release constitutes signature, and in doing so, I acknowledge and represent that I have read and understand this release and agree to it voluntarily.