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Workshop Participant Waiver 

Welcome to the Sacred Sounds Academy! As you prepare to join us for an enriching healing experience, please read and complete the following waiver form. This ensures your understanding and agreement to the terms of participation in our in-person sessions.

About You

Please fill out the following form.

Date of birth
How did you hear about us?

About Your General Health

The following questions provide information about your general health. Some of The Retreat activities may push you physically and emotionally, so it is important to be honest in your answers.

Do you have any sensitivity to sound or vibration?
No
Yes
Do you have any difficulty lying on your front or back?
No
Yes
Do you have any metal implants, a pacemaker or body piercings?
No
Yes
Have you been in an accident or hospitalised in the last 2 years?
No
Yes
Have you had suregery in the last 2 years?
No
Yes
Do you require any medication/s to treat ongoing medical condition?
No
Yes
Do you have any allergies that you have not told the organisers about?
No
Yes
Do you suffer from anxiety, panic attacks or fear induced symptoms?
No
Yes

Consent and Acknowledgement

I confirm that the information provided is accurate and current to the best of my knowledge.


I hereby give my consent to receive treatments and acknowledge that I am participating voluntarily and at my own risk. I understand the risks associated with these services and assume full responsibility for my health and safety during and after the sessions. The sessions involve gentle sound and vibration techniques aimed at promoting relaxation and healing. I affirm that the health information provided is accurate, and I will inform my practitioner of any changes in my health status.


I acknowledge that practitioners certified by the Sacred Sounds Academy are trained in non-medical sound therapy techniques to enhance wellness. They do not diagnose medical conditions or prescribe treatments. I understand that sound therapy is not a substitute for medical care, and I am advised to consult a licensed medical professional for any physical or mental health concerns. I agree that it is my responsibility to maintain appropriate medical care.


I understand that the information collected is for safety purposes and will be kept strictly confidential unless I provide written consent for its disclosure. I acknowledge that all information shared during my sessions will remain confidential, except as required by law. No personal information will be disclosed without my written consent, unless I choose to share it voluntarily.


I, or my representative(s), agree to release, waive, discharge, and hold harmless any therapist/healer from Sacred Sounds and Wellness, as well as their heirs, executors, administrators, and


During the session:

I acknowledge that I have read and fully understand this agreement. By checking the box below, I agree to the terms outlined above and confirm my consent to participate in The Retreat, and all activities organised as part of The Retreat.

Please feel free to ask your therapist/healer any questions before, during, or after the session. Your therapist is a skilled professional and is committed to supporting your journey towards healing and wellness.

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