Beauty in Brokenness provides participants the opportunity to express themselves artisti- cally through the creation of a mosaic. I understand that by participating I will be working with pottery and glass shards and I agree to exercise caution while handling these shards. If I choose to create pottery shards, Mosaics of Mercy will provide me with safety glasses.
I agree to wear any and all personal safety equipment that is provided to me during the session. As a participant in a Beauty in Brokenness mosaic session, I release and agree to hold Mosaics of Mercy harmless from any and all liability and hereby assume all risk and responsibility and waive any claim or cause of action of any nature arising while participat- ing in a creative mosaic session. I further agree to indemnify and hold harmless Mosaics of Mercy, its agents, employees or contractors, whether paid or volunteer, against any and all claims which may arise from any injury while participating in this program.
I understand photos may be taken where I am visible in a group setting and allow Mosaics of Mercy to use these for social media and website purposes.
We are a ministry offering hope, connection and an extension of healing offered through our all-knowing and loving God. The mosaic session is not a counseling session and is not meant to replace counseling or be a substitute for it. Mosaics of Mercy will provide mental health resources upon request. Session attendees are not required to share personal in- formation with the group. if an individual decides to share personal information, we ask that all members of the group, including Mosaics of Mercy staff and volunteers, keep that information confidential and only discuss it in the group setting.
I have read and understand the above policies and agree to comply with its provisions.(Please write clearly and legibly! Thank you!)