Individual + Group Session Waiver Form
By signing this waiver form, I acknowledge and confirm the following terms and conditions regarding my participation in Elam’s Hands Individual or Group Sessions, Workshop and Events, and with all that it entitles, including but not limited to healing sessions, meditation, movement, energy work, retreats, coaching, qigong, Reiki, sound baths, yoga, sacred ceremony, smudging and any related activities (hereinafter referred to as the "Event")
I understand that my participation in the Event is entirely voluntary. I acknowledge that the activities offered may include many modalities: meditation, breathwork, movement, energy healing, and discussions that may bring up emotional, mental, or physical experiences.
I acknowledge that participation in the Event may involve inherent risks, including but not limited to physical exertion, emotional release, and energetic shifts. I voluntarily assume full responsibility for any risks, injuries, or damages, known or unknown, of any and all capacity which I might incur as a result of participating in the Event.
I understand that the Event is not a substitute for medical, psychological, or psychiatric treatment. I acknowledge that facilitators are not licensed medical or mental health professionals unless otherwise specified. I affirm that I am responsible for my own physical, mental, and emotional well-being and will seek professional support if needed.
I, on behalf of myself, my assigns, and legal representatives, release and hold harmless Elam’s Hands, its facilitators, organizers, volunteers, and any associated venues from any and all claims, liabilities, demands, causes of action, costs, or expenses that may arise from my participation in the Event.
I agree to maintain the confidentiality of any personal information shared by other participants during the Event. I understand that creating a safe and sacred space requires mutual respect, and I will participate with kindness, non-judgment, and open-heartedness.
I agree to follow the guidelines and instructions provided by the facilitators to ensure a safe and supportive environment for all participants. If at any point I feel discomfort, I understand that I have the right to pause or discontinue my participation.
I understand that from time to time, photographs, videos, or recordings may be taken during the Event for promotional or educational purposes
I acknowledge that the facilitators and venue should be treated with respect all the time.
I have carefully read this Waiver of Liability and Informed Consent Agreement. I understand its contents and voluntarily agree to its terms.
Client's Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Date Signed
-
Month
-
Day
Year
Date
Client's Signature
Print Form
Submit
Submit
Should be Empty: