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Dear Program Participant,

Please answer the following questions to the best of your ability so that our training team can become familiar with your story. Any personal information provided by any participant will be held in strict confidence, and is for the express use of the course facilitators to understand the needs of you and the other course participants.



I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue or make any claims of any kind whatsoever against the Program or any of the aforementioned parties for any injury, property damage/loss, or death caused by their negligence or other acts.