Thank you for your interest in improving your personal wellness with Hil & Vil Natural Wellness, LLC. We are excited to provide you with this initial consultation. ("Consultation" For the provisions below. "Attendee," "I". "me" or "my," shall refer to the undersigned individual or their parent or guardian, as applicable. I wish to participate in the Consultation on the date indicated above and, in consideration for my participation, I agree to release and discharge from liability arising from negligence Hil Vil Natural Wellness, LLC and its owners, directors, officers employees, agents, volunteers, participants, and all other persons or entities acting for them (hereinafter collectively referred to as "Hil & Vil" on behalf of myself and my children, parents, heirs, assigns, personal representative and estate, and also agree as follows:
1. I acknowledge that participating in the Consultation may include, but is not limited to, physical manipulation of my body parts, includingholding various positions or yoga postures for short or extended periods of time. various physical exercises, and other meditative physical movements. I acknowledge that these activities involve known and unanticipated risks which could result in emotional distress, serious physical injury. or death. Risks include. but are not limited to, bruises, broken bones, torn ligaments. or other injuries as a result of falls or contact with other individuals; and damaged clothing or other property. I understand such risks simply cannot be eliminated, despite the use of safety equipment and best practices, without jeopardizing the essential qualities of the activity.
2. I understand and acknowledge that Hil & Vil does not provide licensed medical services, licensed medical advice, licensed medical diagnoses, or professional medical treatment. including any kind of licensed professional counseling or psychiatric care.
3. I understand that this Consultation is not overseen or conducted by licensed medical professionals. I understand and acknowledge that my failure to disclose relevant information may result in harm to me and/or others during theConsultation I represent and warrant that my mental, physical, or medical condition enables me to participate in the Consultation without any special accommodation I understand that if I am uncertain about any pre-existing medical conditions, it is my responsibility to consult with my physician prior to participating in this Consultation. I further agree to accept full responsibility for all expenses, including medical expenses that may derive from any injuries to me that may occur during my participation in the Consultation.
4. I expressly accept and assume all of the risks inherent in this Consultation or that might have been caused by the negligence of Hil & Vil. My participation in this activity is purely voluntary and I elect to permit their participation despite the risks. In addition. if at any time I believe that conditions are unsafe or that I am unable to participate due to physical or medical conditions, then I will immediately discontinue my participation.
5. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Hil & Vil from any and all claims, demands, or causes of action which are in any way connected with my participation in this activity, or my use of their equipment or services, arising from negligence. This release does not apply to claims arising from intentional conduct. Should Hil & Vil or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement. I agree to indemnify and hold them harmless for all such fees and costs.
6. Refund Policy - The rights and remedies provided in this Refund Policy shall not be exclusive and are in addition to any other and remedies provided by applicable law or under the Release provision below. (a) All service fees listed above will not at all be rights refundable if a refund is requested. Credit towards purchased services can be transferred to a different service or to another person. Said person will be required to sign a separate waiver and agreement form for the new terms of service.
I have read and understood this document and I agree to be bound by its terms. There have been no oral representations, statements, or inducements made apart from those set forth in writing in this agreement. I have had sufficient time to read this entire document. I am at least eighteen (18) years of age and fully competent. or my parent and legal guardian shall sign on my behalf below.