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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

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

Disclaimer

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.


I confirm that the information provided is correct and current to the best of my knowledge. I understand that this information is collected for safety purposes and will be kept strictly confidential unless I provide written consent to share it.


I hereby give my consent to receive treatments/healing and acknowledge that I am participating voluntarily and at my own risk. I am aware of the risks associated with receiving these services and assume full responsibility for my health and safety during and after the sessions.


I agree to release, waive, discharge, and hold harmless my therapist/healer, as well as their heirs, executors, administrators, and personal representatives, from any and all liability for injuries, damages, or claims relating to or resulting from my receipt of the services, now or in the future, whether foreseen or unforeseen.


During the Session:

  • I will immediately inform my therapist/healer if I experience any pain or discomfort during the session. I acknowledge that any pain or discomfort experienced during or after the session is not the responsibility of my therapist/healer.


  • I understand that the services provided are not a substitute for medical care and that my therapist/healer is not qualified to perform medical examinations, provide diagnoses, or give medical advice.

  • I affirm that I have disclosed all known medical conditions and injuries to my therapist and agree to inform them of any changes in my health and medical condition.


Privacy and Confidentiality:

  • I consent to my medical information and treatment notes being shared with third-party health practitioners if referred by my therapist and agreed upon by me.

  • I acknowledge that my therapist may disclose my personal information if required by law.


Client Agreement:

By checking the box below, I acknowledge that I have read and fully understand the contents of this waiver. I waive and release my therapist/healer from any and all liability related to this treatment.

Privacy Policy

No information about any client will be discussed or shared with any third party without written consent of the client or parent/guardian of the client

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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