I understand that Veterans Center provides housing stability counseling after which I will receive a written actionplan consisting of recommendations for handling my situation, possibly including referrals to other housing agencies as appropriate.

I understand that Veterans Center receives Congressional funds through the Housing Stability Counseling Program(HSCP) and as such, is required to submit client-level information to the online reporting system and share someof my information with HSCP administrators or their agents for purposes of program monitoring, compliance and evaluation.

I agree to allow Veterans Center to pull my credit report at the time of intake. In lieu of a new credit pull, I agree toprovide Veterans Center with a copy of my credit report dated within 30 days of the intake date.

I give permission for HSCP administrators and/or their agents to follow-up with me between now and June 30,2026, for the purposes of program evaluation.

I may be referred to other housing services of the organization or other agency or agencies as appropriate that may be able to assist with concerns that have been identified. I understand that I am not obligated to use any of the services offered to me.

I acknowledge that I have received a copy of Veterans Center privacy policy.

PHOTO RELEASE FORM

I hereby grant Veterans Center the irrevocable right and permission to use photographs and/or videos taken of me and/or my child in all forms and media for Veterans Center's promotional, advertising, educational, and other purposes. I understand that these materials may be used without further consent or notification and without compensation.

CHILD CONSENT FORM

I, the undersigned parent or legal guardian of the child named below, give consent for my child to participate in the organized by Veterans Center. I understand the nature of the event and grant permission for my child to receive toys and/or gifts.

LIABILITY WAIVER FORM

I, the undersigned, acknowledge that my participation in the Veterans Center event involves certain inherent risks. In consideration for being permitted to participate in this event, I hereby waive and release any claims or liabilities against Veterans Center, its officers, employees, volunteers, and sponsors arising out of my participation in this event.

I understand the risks involved and voluntarily assume those risks. I also certify that I am physically fit to participate in this event.

In order to participate in an Veterans Center, Atlanta Mobile Entertainment LLC, and Gamers Party Zone, LLC Laser Tag game or activities, I, the undersigned, agree and acknowledge that there is risk of injury from these activities and/or from the equipment involved.

I freely assume all such risks, both known and unknown, and assume full responsibility for my participation and safety.

I have read and understand the rules, including all safety-related rules, and agree to fully comply with all rules and regulations during my participation.

I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin hereby
release and hold harmless Veterans Center, Atlanta Mobile Entertainment LLC, and Gamers Party Zone, LLC their officers, officials, agents or employees, from any and all liability for injury, disability, death, loss or damage to personal property.

I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating and that I sign this release of liability voluntarily and without inducement.

Each individual participant (or authorized guardian, if minor) must read and sign this release of liability prior to participating in any laser tag event. In order to participate in an Veterans Center, Atlanta Mobile Entertainment LLC, and Gamers Party Zone, LLC laser tag game or activities, I, the undersigned, agree and acknowledge that there is risk of injury from these activities and/or from the equipment involved.

I freely assume all such risks, both known and unknown, and assume full responsibility for my participation and safety. I have read and understand the rules, including all safety-related rules, and agree to fully comply with all rules and regulations during my participation. I, for myself, and on behalf of my heirs, assigns, personal representatives and next of kin hereby release and hold harmless Veterans Center, Atlanta Mobile Entertainment LLC, and Gamers Party Zone, LLC their officers, officials, agents or employees, from any and all liability tor injury, disability, death, loss or damage to personal property. I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating and that I sign this release of liability voluntarily and without inducement.

Minor Age Participants (under age 18)
All participants under the age of 18 at the time of the event must have a parent or guardian sign below. I hereby certify that I am the parent or guardian with legal responsibility for the minors included below and agree to his/her participation and release and hold harmless Veterans Center, Atlanta Mobile Entertainment LLC, and Gamers Party Zone, LLC, their officers, officials, agents or employees from any and all liability for his/her injury, disability, death, loss or damage to personal property. I acknowledge that I have read this release of liability in its entirety and assume all risk for the below-named minor and sign this release voluntarily and without inducement.

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature.

There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

As a HUD-certified Housing Counseling Agency, the Veterans Center (“VCATL”) is nonprofit, HUD-approved comprehensive housing counseling agency. We provide free education workshops and a full spectrum of housing counseling including pre-purchase, foreclosure prevention, non-delinquency post-purchase, reverse mortgage, rental and homeless counseling. We serve all clients regardless of income, race, color, religion/creed, sex, national origin, age, family status, disability, or sexual orientation/gender identity. We administer our programs in conformity with local, state, and federal anti-discrimination laws, including the federal Fair Housing Act (42 USC 3600, et seq.). As a housing counseling program participant, please affirm your roles and responsibilities along with the following disclosures and initial, sign, and date the form on the
following page.

Counselor’s Roles and Responsibilities
Reviewing your housing goal and your finances; which include your income, debts, assets, and credit history.
• Preparing a Client Action Plan that lists the steps that you and your counselor will take in order to achieve
your housing goal.
• Preparing a household budget that will help you manage your debt, expenses, and savings.
• Your counselor is not responsible for achieving your housing goal, but will provide guidance and education in
support of your goal.
• Neither your counselor nor Veterans Center HCA employees, agents, or directors may provide legal advice.

Client’s Role and Responsibilities
Termination of Services: Failure to work cooperatively with your housing counselor and/or Veterans Center HCA with result in the discontinuation of counseling services. This includes, but is not limited to, missing three consecutive appointments.

Termination of Services: Failure to work cooperatively with your housing counselor and/or Veterans Center HCA with result in the discontinuation of counseling services. This includes, but is not limited to, missing three consecutive appointments.

Agency Conduct: No Veterans Center HCA employee, officer, director, contractor, volunteer, or agent shall undertake any action that might result in, or create the appearance of, administering
counseling operations for personal or private gain, provide preferential treatment for any person
or organization, or engage in conduct that will compromise our agency’s compliance with federal regulations and our commitment to serving the best interests of our clients.

Agency Relationships: Veterans Center HCA has financial affiliation with HUD, NeighborWorks America, USDA Rural Development, the Georgia. As a housing counseling program participant, you are not obligated to use the products and services of Veterans Center HCA or our industry
partners.

Alternative Services, Programs, and Products & Client Freedom of Choice: Veterans Center HCA has a first-time homebuyer program developed in partnership with Woodforest Bank.
However, you are not obligated to participate in this or other Veterans Center HCA programs and services while you are receiving housing counseling from our agency. You may consider seeking alternative products and services from entities including the Federal Housing Administration (FHA) for first-time homebuyer loan programs, and [insert name of two additional HCA or community service organizations here] for other first-time homebuyer programs. You are entitled to choose whatever real estate professionals, lenders, and lending products that best meet your
needs.

Referrals and Community Resources: You will be provided a community resource list which outlines the county and regional services available to meet a variety of needs, including utilities assistance, emergency shelter, transitional housing, food banks, and legal aid assistance.

This list also identifies alternative agencies that provide services, programs, or products identical to those offered by Veterans Center HCA and its exclusive partners and affiliates.

Privacy Policy: I/we acknowledge that I/we received a copy of Veterans Center HCA’s Privacy
Policy.

Errors and Omissions and Disclaimer of Liability: I/we agree Veterans Center HCA, its employees, agents, and directors are not liable for any claims and causes of action arising from errors or omissions by such parties, or related to my participation in Veterans Center HCA counseling; and I hereby release and waive all claims of action against Veterans Center HCA and its affiliates. I have read this document, understand that I have given up substantial rights by signing it, and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law. If any provision of this document is unenforceable, it shall be modified to the extent necessary to make the provision valid and binding, and the remainder of this document shall remain enforceable to the full extent allowed by law.

Quality Assurance: In order to assess client satisfaction and in compliance with grant funding
requirements, Veterans Center HCA, or one of its partners, may contact you during or after the completion of your housing counseling service. You may be requested to complete a survey asking you to evaluate your client experience. Your survey data may be confidentially shared with Veterans Center HCA grantors such as HUD.

1. I understand that Veterans Center provides housing stability counseling after which I will receive a written actionplan consisting of recommendations for handling my situation, possibly including referrals to other housingagencies as appropriate.
____I Choose to Opt Out

2. I agree to allow Veterans Center to pull my credit report at the time of intake. In lieu of a new credit pull, I agree toprovide Veterans Center with a copy of my credit report dated within 30 days of the intake date.
____I Choose to Opt Out

3. I understand that Veterans Center receives Congressional funds through the Housing Stability Counseling Program(HSCP) and as such, is required to submit client-level information to the online reporting system and share someof my information with HSCP administrators or their agents for purposes of program monitoring, compliance andevaluation.
____I Choose to Opt Out

4. I give permission for HSCP administrators and/or their agents to follow-up with me between now and June 30,2026, for the purposes of program evaluation.
____I Choose to Opt Out

5. I may be referred to other housing services of the organization or other agency or agencies as appropriate that may be able to assist with concerns that have been identified. I understand that I am not obligated to use any of the services offered to me.

6. I acknowledge that I have received a copy of Veterans Center privacy policy.