Please complete the below form with as much information as possible.  Please note that some fields are required.

Onsite Leadership Academy Application

  • Onsite Program Waiver

    I understand and acknowledge the following with respect to my upcoming Onsite program:

    a) That I have fully and truthfully completed the program questionnaire and any other documents which the program staff has provided to me.

    b) That program participants, including myself, are not in a licensed health care setting or facility and will not receive medical supervision or monitoring.

    c) That I will not reveal or discuss outside of any group process anything that happens or is said or done within any group process. I will not reveal the identities of any participants who attend this or past Onsite Programs.

    I understand that this is a group process and even though a confidentiality statement is signed by all participants, it cannot be guaranteed.

    I understand that animals, including dogs, cats, and horses, inhabit the Onsite property with some of the animals being rescued and rehabilitated, and that interaction with these animals may result in injury as a result of negligence by myself or others, due to the unpredictable nature of animals. I also understand that with Onsite being located on a ranch, sometimes stray animals will come onto the property and that Onsite is not liable for any injury.

    I agree to not engage in any activity that may cause damage to Onsite property. If damage does occur, I agree to pay full amount of damages. I also agree to not remove any of Onsite’s property (including but not limited to pillows, blankets, etc) from the rooms and understands that if objects are removed, I am financially responsible for replacing missing objects.

    In the event of a medical emergency, I hereby authorize and give my full consent to Onsite personnel to take all reasonable and available measures to provide me with medical assistance; including, permission to transfer me to another facility. I also authorize Onsite to contact any of my current or former health care providers and family members should the Onsite staff believe it is in my best interest to do so.

    My participation in this Onsite Academy is voluntary. The Academy can be emotionally intense and may involve my emotions in a manner which may result in emotional distress. I agree to accept such risks and assume the responsibility for any such emotional distress and/or other effects of my participation.

    I hereby release, discharge and hold harmless Onsite, and all of its staff of and from any and all claims, causes of action, demands, or judgments arising out of or in any way connected with my participation in the Onsite Leadership Academy and all related activities, including those arising out of the negligence of any of the aforementioned parties.

    I understand that participation in any of these activities contains certain risks of physical injury. I agree to assume fully the risk of injury arising from any such activity.

  • Onsite Photo Release

    I grant permission to Onsite Partners, Inc. (also known as Onsite Workshops) and its agents or employees, to take videos/electronic recording with sound recording of me as well as still photography on the date and at the location listed below. Prior to viewing these photos and video the person/persons will have agreed to keep confidential all material seen including the identity of anyone in the video.

    I hereby waive any right to inspect or approve the finished video/electronic recording that may be used for the training now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the images/video.

    I hereby agree to release, defend, and hold harmless Onsite Partners, Inc. and its agents or employees, from and against any claims, damages or liability arising from or related to the use of the video/electronic recording.

    I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding, this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

    Location of Video/Electronic Recording: Onsite, 1044 Old Hwy. 48 N., Cumberland Furnace, TN, 37051