I wish to become a member of the Lakes Region Recovery Center. I understand that by becoming a member I am eligible to use the Center's facilities, including computers, meeting spaces, and library materials, in ways that will enhance and strengthen my recovery from substance use disorder and/or strengthen my mental health.

I further understand that as a member I will abide by community rules at the Center and will use Center resources solyl for the purposes of working on my recovery. I will treat other members, staff, and visitors with dignity and respect, and agree to speak to a staff member if I see a threat to the safety of the Center, others,  or myself. I will also seek ways that I can participate at the Center to help build a stronger recovery commnuity within the Center as well as in the community at large.

Waiver

The member agrees to make no claim and hereby waives to the fullest extent permitted by law any claim or cause of action of any nature against the Lakes Region Recovery Center, its officers, directors, employees, agents or sub-consultants, which may arise out of or in connection with the membership or performance by any of the above named  services under this agreement.

I acknowledge and affirm that the information provided in this form is complate and accurate to the best of my knowledge.