Child Grief Support Group Informed Consent
Confidentiality: Your confidentiality is of the utmost importance to us. As your group facilitators, we will keep what you share confidential. There are only a few times when we are required to break confidentiality. These situations are as follows:
1. If we feel your child is in danger of harming themselves or others, we are obligated to take action. Every effort will be made to work with you and inform you first in such instances.
2. If an instance of previously unreported child or elder abuse is brought to light, Montana State Law requires us to report this.
TGRC does not offer 24-hour or crisis care. If you or someone you know requires emergency care after business hours, please call 911. If you or someone you know would like to be connected to a mental health resource 988 is available 24 hours a day. Please do not bring pets to the group as they can be distracting during your time of processing grief. Thank you for adhering to this informed consent. We look forward to the group process with you. If you have any questions, please feel free to ask.
Assumption of Risk and Waiver of Liability and Medical Authorization
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I recognize the potentially severe injuries, including permanent paralysis or death can occur in sports activities including but not limited to, ropes courses, team sports, swimming, and boating. Being fully aware of these dangers, I voluntarily consent to the aforementioned person participating in any and all Tamarack Grief Resource Center programs, camps, and activities and I accept all risks associated with that participation.
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I, on my own behalf and our respective heirs, administrators, executors and successors, hereby covenant not to sue and forever release Tamarack Grief Resource Center, its officers, directors, employees, or agents from all liability for any and all damages or injuries suffered by my child while under supervision or control of Tamarack Grief Resource Center.
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In the event of an accident or emergency I would like my child to be taken to the hospital for medical treatment and I hold Tamarack Grief Resource Center harmless in their execution of this action. I hereby agree to individually provide for any possible future medical expenses, which may be incurred by my child as a result of any injury sustained while participating in any Tamarack Grief Resource Center program or activity.
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I give permission for publicity, educational or social media use of any photos or video taken at any and all Tamarack programs or events. I give consent to be added as a contact to a quarterly newsletter mailing. Finally, I will hold Tamarack Grief Resource Center harmless for loss or theft of personal items taken to any Tamarack Grief Resource Center program or activity.
I have read and understood this assumption of risk and waiver of liability and medical authorization and I voluntarily affix my name in agreement.
Transportation Waiver
In the course of Tamarack Grief Resource Center (TGRC) programs, TGRC may use organizational vehicles to transport participants.
I give consent for TGRC approved drivers to drive my child(ren) in the TGRC vehicles. Note to guardian(s): If you require your child to have a booster seat, you will be responsible for providing one. The Montana Department of Transportation recommends children use booster seats until they are taller than 4’ 9”.
Please read the following:
I agree to indemnify and save and hold harmless Tamarack Grief Resource Center, its directors, officers, employees, and agents, from any loss, liability, damage, or cost they may incur due to the presence of the undersigned in, upon, or about the TGRC premises or in any way observing or using any facilities or equipment of TGRC or participating in any program affiliated with TGRC without respect to location including travel whether caused by the negligence of the directors, employees, and agents or otherwise.
I, on my own behalf and the behalf of my child and our respective heirs, administrators, executors and successors, hereby covenant not to sue and forever release Tamarack Grief Resource Center, its officers, directors, employees, or agents from all liability for any and all damages or injuries suffered by my child while under supervision or control of A Camp To Remember/Tamarack Grief Resource Center without respect to location including travel. By signing this form, I acknowledge I have read and
I have read and agree to the above release and indemnification agreement. By clicking "Yes, I agree", I acknowledge I am the legal guardian for this child and recognize and agree to the above.
