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You will be contacted by Mind & Life staff to discuss your specific needs. I require accessibility accommodation Allergies & Medical ConditionsDo you have any food allergies, medical allergies, or conditions that would be critical to know in an emergency? All information is kept confidential except as needed in an emergency, except for food allergies that will be shared with providers. NOTE: All meals provided by the Mind & Life Institute are vegetarian with fish options available at some meals. Monday Dinner Selection Baked Atlantic Salmon with Lemon Pepper Paprika Coasting and Saffron Cream Sauce Stuffed Portobello Mushroom NOTE: Dinner on Tuesday and Wednesday evenings will be at local restaurants where you can select from the menuConsent to Video Recording and Photography(Required)In order to create a historical record of this event, some proceedings will be photographed, filmed, and/or digitally recorded. By registering, you grant Mind & Life permission to use your image and likeness as captured in any and all of its publications and online platforms in any way it sees fit, without payment or any other consideration. If you have specific concerns related to this consent, please contact ekellner@mindandlife.org prior to registering. I understand and agree Privacy Policy(Required)Mind & Life’s use of any information submitted during this registration process is governed by the terms outlined in the Mind & Life Privacy Policy. I understand and agree Waiver of Liability(Required)This event involves various activities including movement opportunities, group transportation, gatherings within indoor spaces, and meals during a time that COVID-19 and other communicable or infectious diseases may be a factor. Mind & Life considers the safety of all those onsite as our top priority. We are committed to our Duty of Care, enhancing the onsite experience and safety for everyone in attendance. That said, Mind & Life shall not be liable to the registrant(s) for any damage to material goods, persons, or property. By attending this event, you agree to abide by and engage in certain health-and-safety-beneficial conduct while attending the event. I understand and agree Is there anything further that you wish to share with us?Your Signature
