The Autism Society of Greater Phoenix is a group of people (parents) who are dedicated to improving the quality of life of children and adults affected by autism by providing information, resources and support to the community, and especially to families affected by autism. Autism Society of Greater Phoenix is a non-profit organization. One of our services is our Parent Mentoring Program whereby our experienced parents share information and support to families needing support and information. This Agreement is intended provide the guidelines to be followed by the Mentor and the Participating Family and to acknowledge the disclaimers described below, and to seek a release of Autism Society of Greater Phoenix’s liability as described below:
Mentor agrees to keep all information obtained in the course of the Mentor Relationship confidential. Mentors agree that all mentoring services will be provided free of charge to the Participating Family.
Participating Family Covenants
Participating Family agrees to keep all information obtained from the Mentor strictly confidential For example, Participating Family shall not disclose Mentor’s name to any government or school official.
By entering into this Agreement, the Participating Family and Mentor acknowledge that the Autism Society of Greater Phoenix makes no warranty that any particular level of mentoring services shall be provided. During the course of the Mentor Relationship, the Mentor may communicate general information regarding medical research, treatment options, therapies and nutrition to the Participating Family. The information may come from a variety of sources, and the Participating Family should assume that neither the Mentor nor the Autism Society of Greater Phoenix independently verifies any of it. Nothing communicated during the Mentoring Relationship should be construed as medical advice. The Participating Family should always consult his or her child’s doctor regarding the child’s individual needs. During the course of the Mentor Relationship, the Mentor may also communicate general information regarding legal issues or legal matters to the Participating Family. The information is intended for informational purposes only and should not be construed by the Participating Family as legal advice or a substitute for legal advice.
Participating Family Release and Hold Harmless Provision
In exchange for the Autism Society of Greater Phoenix’s Parent Mentoring Program, Participating Family hereby releases, discharges and holds harmless, Mentor, Mentor’s family and agents, Autism Society of Greater Phoenix and Autism Society of Greater Phoenix’s Officers, Directors, Trustees, Employees, Volunteers, Agents, Representatives, Affiliates, and all other persons acting on any of their behalves with respect to the conduct of the Autism Society of Greater Phoenix’s affairs (collectively, the “Released Persons”) from any and all liability, claims, loss, damages or other legal responsibility arising directly or indirectly out of or relating in any manner to any injury, loss or damage that arises form, or in connection with, the Parent Mentoring Program. For all purposes of this agreement, the term Participating Family shall include each person within the immediate family of the family participating in the program, and all persons operating through said family (for example, legal guardians, representatives, etc) and all releases contained herein shall extend to all such persons. Participating Family agrees to defend and indemnify all Released Persons against any claim, demand, lawsuit or other proceeding by or on behalf of any person seeking to enforce any right or liability waived, discharged or released above, participating family agrees waived, discharged or released above. Participating Family agrees that this release and waiver is to be interpreted as broadly and inclusively as is permitted by law, and that should any portion of it be deemed unlawful or unenforceable, the remainder shall continue in full force and effect and shall be interpreted to on form as closely as possible to the intentions expressed herein.
This Agreement shall be governed under Arizona law. Each section in this Agreement is severable from the rest of the Agreement, so if any provision herein should be deemed to be invalid or unenforceable, the remaining provisions herein shall remain in full force and effect. All of the confidentiality provisions herein shall survive the termination of the Mentorship Relationship indefinitely. If any dispute should arise among any of the parties in relation to this Agreement, the parties agree that the sole venue shall be in Phoenix, Arizona.
By completing the Parent Mentor Contact Form you acknowledge that you have read and accept the Parent Mentoring Terms above and that you are electronically signing your acceptance of the terms.