I give authorization that my contact information can be shared as set forth on this form to the Training + Education Manager of Sierra Pregnancy + Health (SPH).
I understand that:
1. I have the right to revoke this authorization at any time in writing to SPH except to the extent that action has already been taken to contact and enroll me based on this authorization.
2. Signing this authorization to contact and enroll is voluntary.
3. The Training + Education Manager is not a licensed therapist, counselor, or certified teacher and cannot serve in the completion of required therapy, counseling, or court ordered parenting classes.
4. I am giving Sierra Pregnancy and Health permission to contact me through the contact phone via call or text and through the email provided.
5. I understand this is an online program of over 200 videos ranging in topics designed to be done on my own personal device at home and that I am responsible for earning my incentives by completing the full program requirements.
6. I understand that Sierra Pregnancy + Health can drop me from the enrolled program at their discretion and that I will be dropped automatically if I am not participating regularly by completing a minimum of 5 classes per week.