Participation requires completion of the Community Participation Agreement prior to attendance.

Please complete the agreement here:

https://www.empoweringthebest.org/community-participation-agreement

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Community Participation Agreement

Empowering the Best, PLLC
www.empoweringthebest.org 

This Community Participation Agreement applies to all community-based, non-clinical programs, groups, workshops, and enrichment offerings facilitated by or through Empowering the Best, PLLC.

Nature of the Program

I understand and agree that participation in Empowering the Best community offerings is community-based enrichment and supported care. These offerings are not occupational therapy, clinical treatment, medical care, or mental health services, and they do not replace therapeutic or medical services.

Participation does not establish a therapist–client relationship. No diagnosis, treatment goals, clinical assessments, or therapeutic outcomes are provided as part of these programs.

Facilitation

Programs are facilitated by neurodiversity-informed providers trained in Empowering the Best’s values and approach. Specific facilitators may vary by session. Empowering the Best provides program design, training, and oversight but does not guarantee the presence of any specific individual facilitator.

Assumption of Risk

I understand that participation in community-based group activities may involve inherent risks, including but not limited to minor injuries, falls, emotional discomfort, or peer-related challenges. I voluntarily assume all such risks associated with participation.

Release of Liability

To the fullest extent permitted by law, I release and hold harmless Empowering the Best, PLLC, its owners, employees, contractors, facilitators, and volunteers from any and all claims, demands, or causes of action arising from participation in these community programs, except in cases of gross negligence or willful misconduct.

Behavior & Safety Expectations

Participants are expected to engage in a manner that supports the safety and well-being of themselves, others, and the environment. Empowering the Best reserves the right to modify participation or dismiss a participant if behavior poses a safety concern. Removal due to safety concerns does not guarantee a refund.

Health & Emergency Authorization

I agree to provide accurate emergency contact information. In the event of an emergency, I authorize Empowering the Best staff or facilitators to seek emergency medical care as deemed necessary. I understand that reasonable efforts will be made to contact me or the designated emergency contact as soon as possible.

Illness Policy

Participants should not attend programs if experiencing symptoms of contagious illness. Missed sessions due to illness do not guarantee a refund or make-up session unless otherwise stated.

Media Release (Optional)

I grant permission for photographs or videos to be taken during participation for the purposes indicated below. Participation is entirely voluntary and consent is not required to participate.

☐ Non-identifying images only
(e.g., group photos without faces, hands, backs, or blurred images)

☐ Identifying images permitted
(e.g., face visible)

I understand consent may be withdrawn in writing at any time.

☐ No media consent

Acknowledgment & Agreement

I acknowledge that I have read and understand this Community Participation Agreement and agree to its terms.

Participant Name: ________________________________
Parent/Guardian Name (if applicable): ________________________________
Signature: ________________________________
Date: ________________________________