Sound Bath Waiver & Liability Release
THIS AGREEMENT CONTAINS A WAIVER & RELEASE OF LIABILITY AND INDEMNITY AGREEMENT TO WHICH YOU WILL BE BOUND AND UNDER WHICH YOU WILL BE WAIVING IMPORTANT LEGAL RIGHTS. DO NOT SIGN THIS AGREEMENT BEFORE YOU READ THE TERMS AND CONDITIONS.
Today's Date
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Month
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Day
Year
Date
Personal Information
Full Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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If signing on behalf of a minor, please include their name and age below:
Have you been to a sound bath before?
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Please Select
Yes
No
Please identify if you have any of the following conditions:
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Please Select
Pregnancy - First Trimester
Cardiac Pacemaker
Metal Implants in the Body
Hearing Aids
None - N/A
Are there any other physical limitations or injuries?
If you have any concerns regarding medical contraindications, please reach out to Natasha at natasha@alchemyforthesoul.life or via text at 603-273-8518.
Emergency Contact
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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Signature
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I AM OVER THE AGE OF 18. I HAVE READ THE PRECEDING WAIVER AND RELEASE OF LIABILITY AND VOLUNTARILY EXECUTED THIS DOCUMENT WITH FULL KNOWLEDGE OF ITS CONTENT.
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