Friendsgiving in Gratitude “One of the most beautiful qualities of true friendship is to understand and to be understood.” — Lucius Annaeus Seneca Sync is made possible by each of you – so let’s get together and give thanks! Please sign up on this link to bring your favorite side dish; we’ll have the bird and the coffee. __________________________________________________________________________________________________________________________________________ 12.07.2024 Friendsgiving at Kirkridge "*" indicates required fields Name* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Birth Date* MM slash DD slash YYYY Do you have any medical conditions we need to be aware of?* Yes No Please list any medical conditions.Emergency Contact* First Last Contact Phone*Is this your first Sync Event?* Yes No I participate in the following program:* TCAP with TTI Recovery Court with Northampton County CRS Service Treatment Court in Bucks County Sync Recovery Volunteer Person living in Sober Living Home Person in Recovery Friend/Family Member of Person in Recovery Who Needs to Know? Please check this box if you agree I understand Synchronicity Recovery Foundation, Ltd believes that participant information should be respected and protected. I understand that SRF representatives will share my attendance record with my Case Manager, Probation Officer, and/or CRS with whom I am working.I would like to volunteer at this event. I have completed Volunteer Orientation. I have completed Volunteer Orientation and Leadership Training. I have completed Volunteer Orientation, Leadership Training, and CPR/First Aid Training. I am a Sync Recovery Volunteer and will attend. I choose not to commit to volunteering at this particular event. I would like to learn more about Sync Recovery's Volunteer Program. Consent* I understand and accept.ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY/ALL ACTIVITIES ASSOCIATED WITH THIS EVENT, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. I acknowledge that this Accident Waiver and Release of Liability Form will be used by the event holders, sponsors, and organizers of the activity in which I may participate and that it will govern my actions and responsibilities at said activity. In consideration of my application and permitting me to participate in this activity, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my traveling to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Synchronicity Recovery Foundation, LTD (SRF) and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. I acknowledge that SRF and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this activity may involve a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this activity. I understand while participating in this activity, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the activity holders, producers, sponsors, organizers, and assigns. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. By including my email address SRF has my permission to email/ mail information about upcoming events. I CERTIFY THAT I HAVE READ THE ACCIDENT AND RELEASE OF LIABILITY FORM FOR PARTICIPATION WITH SYNCHRONICITY RECOVERY FOUNDATION, LTD. I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.This event is free. Your gift helps Sync Recovery support people achieve long term recovery. Credit Card Pay by Check Amount Payment MethodCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Send payment to: 213 Easton Road PO Box 294 Riegelsville, PA 18077 + Add to Google Calendar + iCal / Outlook export 00 days 00 hours 00 minutes 00 seconds Tags: action based peer support, community, gratitude, mindfulness, recovery support, sober fun, social connections Date Dec 07 2024 Time 4:00 pm - 8:00 pm Location Kirkridge Retreat-Nelson Lodge 3501 Valley View Drive, Bangor, PA 18013 Category Events Northampton County Organizer Sync Recovery Community Phone (215) 892-3658 Email syncrecovery@gmail.com Share this event