In exchange for participation in the activities during the Depression and Anxiety Campaign
Awareness Event organized by The Voice Speaks at 5471 Jonesboro Road, Lake City, Georgia,
30260, and or/use of the property, facilities and services of The Voice Speaks, I,
________________, of ________________ _______________ agree for myself and (if
applicable) for the members of my family, to the following:
Dated: ____________________________________