WELCOME

Welcome to your first session of Emotion Code with Break Thru Fitness! I am so glad you are here! Before we begin, I would like to inform you about the purpose, risks, and benefits of Emotion Code, as well as, your rights and responsibilities.

PURPOSE AND PROCEDURE

The purpose of Emotion Code is to release trapped emotional energy within the body that never had a chance to process and clear on its own.  When energy gets trapped in the body it often congregates in a common vulnerable area which prevents positive energy from flowing through that area.  This causes a decline in health on many levels - physical, emotional, and relational.  By clearing this negative energy, the body is able to help itself heal by getting the energy it needs to those vulnerable places. 

I promise to come prepared - rested, aligned, and hydrated!  You just need to come hydrated and open to wonderful possibilities! What happens in our session stays in our session! You are welcome to share whatever you want with me, but you don’t need to share anything for this work to be effective! It is simple, painless, and quick!!  

Emotion code uses muscle testing to speak with the subconscious mind to find the trapped emotions (aka emotional baggage) that need to be released. We can address traumatic life events, certain emotional issues, areas where you feel stuck, or parts of the body where emotions might be trapped. If you are unsure what to work on, we can ask your body to release whatever it wants to release, or we can start with the heart wall or discuss what is happening in your life and come up with an intention together! 

RISKS

There are no physical risks to Emotion Code. The only risk is that you have expectations of miracles and you don't get one. Most of the changes after a session are subtle, but some are powerful.  There is no way to tell how your body will respond.

Please acknowledge that The Emotion Code is NOT a substitute for counseling, psychotherapy, psychoanalysis, medicines, physician care, mental health care, or substance abuse treatment.

BENEFITS

The most common benefits of Emotion Code include:

* Less anxiety

* Physical healing

* Feeling lighter

* A release of tension

* Less pain

* Improved mood

* Improved perspective

* Emotional healing

* Better understanding of self

LIABILITY

As the client, and in consideration for my participation using the Emotion Code with Break Thru Fitness, I agree that my participation is entirely voluntary and that I assume any risk associated with participation. Any actions or lack of actions, taken by me, the client, of such advice, is done so solely by choice and responsibility, and any harm, injury, or loss that may occur to me or my property as a result of my participation, is neither the responsibility nor liability of Discover Healing, Break Thru Fitness or the Practitioner.

My signature below acknowledges that the trained Practitioner is an independent contractor of Discover Healing’s program The Emotion Code, and Discover Healing has no control over and assumes no responsibility for the acts or omissions of the trained Practitioner.

I understand that The Emotion Code is not a substitute for counseling, psychotherapy, psychoanalysis, medicines, physician care, mental health care, or substance abuse treatment, and I will not use it in place of any form of therapy. I fully acknowledge and take full responsibility for all the risks involved. 

IN CONSIDERATION OF MY PARTICIPATION WITH THE EMOTION CODE, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS BTF AND THE PRACTITIONER, AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (THE “RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse BTF and Practitioner for any damages, reasonable settlements, and defense costs, including attorney’s fees, that they incur because of any such claims made against them. I agree that the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative, executor, administrator or guardian will be obligated to respect and enforce them. This RELEASE does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that applicable law does not permit to be excluded by agreement.

I agree that the purpose of this agreement is that it shall be an enforceable RELEASE OF LIABILITY AND INDEMNITY as broad and inclusive as is permitted by Colorado law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.

I understand that this is a contract that affects my legal rights, and I have read and understood this form and all its contents, and I voluntarily agree to the terms and conditions stated above.

CONFIDENTIALITY

Your privacy is important to us. All information we obtain from you before, during, and after your sessions shall be kept confidential and will not be released to anyone without your prior written consent. However, we may use data that does not personally identify you for statistical and testimonial purposes.

QUESTIONS

If you have questions or concerns, please let me know by reaching out to us via text at (970) 214-0741, or via email at btfitnessco@gmail.com

By filling out and signing this form, I hereby declare that I have read the information above and voluntarily participate in Emotion Code with Break Thru Fitness.

I understand the risks and benefits, as well as my right and responsibilities. I also have had the opportunity to ask relative questions concerning the program and all of which were explained to me and to my satisfaction.

Thank you for taking the time to read this contract and fill it out! I look forward to working with you! Laura