1. Acknowledgment of Risk:
Voluntary Participation:
I the undersigned, acknowledge that I have voluntarily chosen to participate in treatments, services, and activities offered by Green Sun Healing, LLC.
Inherent Risks:
I understand that certain treatments and services provided by Green Sun Healing, LLC, including but not limited to services such as massage therapy, reiki, yoni/lingam steam, holistic health practices, may involve risks, including but not limited to physical, emotional, and psychological discomfort or injury.
2. Assumption of Risk:
Acceptance of Responsibility:
I willingly assume full responsibility for any risks of loss, property damage, or personal injury, including death, that may be sustained as a result of participating in treatments and services offered by Green Sun Healing, LLC, whether caused by the negligence of Green Sun Healing, LLC or otherwise.
3. Waiver of Liability:
Release of Claims:
I hereby release, waive, discharge, and covenant not to sue Green Sun Healing, LLC, its owners, officers, employees, contractors, or agents from any and all liability, claims, demands, actions, and causes of action, including legal fees, arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or to any property belonging to me, whether caused by the negligence of the releasees or otherwise, while participating in any service or activity related to Green Sun Healing, LLC.
4. Indemnification:
Agreement to Indemnify:
I agree to indemnify and hold harmless Green Sun Healing, LLC from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, arising out of or related to my involvement in the services and activities offered by Green Sun Healing, LLC.
5. Medical Disclaimer:
Consultation with Healthcare Provider:
I acknowledge that Green Sun Healing, LLC's services are not a substitute for medical care, diagnosis, or treatment. I affirm that I have consulted with or will consult with a healthcare provider regarding any medical conditions that may be affected by my participation in Green Sun Healing, LLC's services.
Emergency Treatment:
In the event of a medical emergency, I authorize Green Sun Healing, LLC to seek emergency medical care for me if necessary, understanding that I will be responsible for any costs incurred.
6. Confidentiality and Privacy:
Acknowledgment of Confidentiality:
I understand that my personal information will be kept confidential by Green Sun Healing, LLC, in accordance with applicable privacy laws and the Green Sun Healing, LLC Privacy Policy.
7. Agreement and Understanding:
Entire Agreement:
I have read this Release of Liability and Waiver Form in its entirety and fully understand its terms. I understand that by signing this form, I am waiving certain legal rights, including the right to sue Green Sun Healing, LLC.
Binding Effect:
This release and waiver will be binding upon me, my heirs, next of kin, executors, administrators, assigns, and representatives in the event of my death or incapacity.
Name
Signature
Green Sun Healing, LLC Representative: Eric and Novella Green
Contact Information:
Green Sun Healing, LLC
Phone: 919-215-5710
Email: greensunhealing@gmail.com
This Release of Liability and Waiver Form is executed on the date indicated above, with the intention of releasing Green Sun Healing, LLC from any and all liability as stated herein.