I hereby acknowledge that fees, service policies, visitation policies, exchange and sexual abuse guidelines (if applicable), have been explained to me and all questions clarified. I have received a copy of the applicable policies, and understand my obligation to follow them in order to receive service. I also understand that I will be financially responsible for all missed visitations or cancellations, outstanding communication fees, court and travel time and expense fees until Common Ground/ Anna Tyrrell & Assoc. been removed as designated supervised visitation services. I understand that all supervisors are subject to subpoena by the Court. I understand that all supervisors are responsible to intervene in moments of danger for anyone participating in a visit. If deemed appropriate this may result in a call for medical and law enforcement assistance. While every precaution short of physical intervention will be taken to secure the child/ren's or adult's safety, a guarantee that no harm will occur during such Court ordered or voluntary use of services is neither inherent nor implied. In the event of an emergency, I understand my child/ren may be transported to a safe place until an appropriate caregiver can be contacted.
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