By typing your name below, you take full responsibility for your voluntary participation in the Aging Mastery Program being offered at the site listed below. You release the site, the instructors and facilitators, CT Community Care, The CT Healthy Living Collective, and the National Council on Aging, their employees, agents or representatives from liability resulting from any injury or discomfort from your attendance and participation.
You also agree that CT Community Care, Inc., CT Healthy Living Collective and the program location indicated below, their employees, agents or representatives, may photograph you with television, video , movie or still camera. The pictures and any statements or voice recordings made at the time of photography or in connection iwth the photography may be processed in any manner and by whatever method or combination of methods elected. Furthermore, you agree to waive any right or claim you might have to compensation, fees or other benefits by use or reuse of the video/photograph and the undersigned hereby releases the organizers from any claim or demands for compensation or liability arising from said use of or publication of said pictures anywhere in perpetuity. By providing your contact information, you consent to receiving correspondence via mail or email from the CT Healthy Living Collective (CHLC) regarding future CHLC programs.