Energy Over Matter/Dayna Gerrard

1. I recognise that activities related to yoga, meditation and/or PEMF can involve physical activiy which may cause injury. I underestand that I must judge my own capbabilities with respect to activities and treatments. By participating in any activity or service taught by or offered by Dayna Gerrard in any location, I agree to assume all responsibilty for any risks, injury

or damages, known or unknown, that i may occur.

2. I understand that it is my responsibilty to consult with a doctor/physician prior to and regarding my participation in any activity or service. I represent and warrant that I am physically and mentally fit enough to engage in any or all services I consent to. I aknowledge that it is my responsibilty to inform the provider of any conditions or limitations I have, as well as to inform them if I become injured and to require adjustments or accommodations.

3. I aknowledge that there is no guarantee of the effectiveness or outcome of any class, service or activity provided. Individual results may vary.

4. I, MY HEIRS OR REPRESENTATIVES RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE OR ASSERT CLAIM AGAINST DAYNA GERRARD, EMPLOYEES, SUBCONTRACTORS AND/OR AGENTS FOR ANY INJURY, DAMGES OR DEATH CAUSED BY THEIR NEGLIGENCE. I KNOWINGLY, VOLUNTARILY AND EXPRESSLY WAIVE ANY CLAIM I MAY HAVE AGAINST DAYNA GERRARD, EMPLOYEES, SUBCONTRACTORS, AND/OR AGENTS FOR ANY INJURY, DAMAGES OR DEATH AS A RESULT OF PARTICIPATING IN ANY YOGA, MEDITATION, PEMF OR OTHER SERVICE PROVIDED OF

5. I have carefully read this waiver and release, I understand that I have the opportunity to negotiate its terma with Dayna Gerrard and agents. By signing this form, i voluntarily agree to the above terms, releasing Dayna Gerrard and agents form there own neglgent acts., I consent to the above terms, conditions.