WeBelieveAZ Liability Waiver
  • WeBelieveAZ Liability Waiver

  • I      hereby affirm that I am voluntarily starting program designed to TAKE OWNERSHIP OF MY HEALTH. I am voluntarily participating in the Modalities offered at WeBelieveAz Wellness Center entirely at my own risk.

  • In full consideration of the risk of injury while participating in the Modalities offered at WeBelieveAz Wellness Center , and for the right to participate in the Modalities offered at WeBelieveAz Wellness Center, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily participate in this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Modalities offered at WeBelieveAz Wellness Center, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any kind of risks related to traveling to and from as well as participating the Activity, which may include, but are not limited to, physical or phycological injury, pain, suffering, illness disfigurement, temporary or permanent disability, economic or emotional loss, and death.

  • I acknowledge that I have carefully read this form and fully understand that it is a release of liability. I expressly agree to release and discharge the Staff or Health Coach from any and all claims or causes of action and I agree to voluntarily give up or waive any right that I may otherwise have to bring a legal action for personal injury or property damage. 

  •  - -
  • Powered by Jotform SignClear
  • Should be Empty: