Floating Sound Bath Registration Form
Location: Saratoga, NY **Exact address to be provided once you are registered** Time: 2:30pm-4:30pm. Doors will open at 2:30pm. Event Dates with Availability: 9/13 Bonfire + Floating Sound Bath. Both poolside seating and floats available. Please indicate which date you are signing up for below Thank you. Refreshments included with pricing. Bring a towel for the pool, bug spray, blankets and/ or eye mask for extra comfort. Message 413-337-2231 with any questions!
Your Name
*
First & Last
Event Date
Emergency Contact
*
Name
Phone#
Contact Info
*
Phone#
Instagram Handle / Email Address
Would you like to receive notifications about upcoming events?
*
Yes, keep me in the loop via Instagram
Yes, keep me in the loop via Text!
Yes, keep me in the loop via Email!
No, thank you.
Liability Waiver and Consent 1. ACKNOWLEDGMENT OF SERVICES I acknowledge and agree that I am voluntarily participating in services offered by Zhen Health N' Wellness LLC, DBA Resonance and Release (“Zhen Health N’ Wellness”), which may include, but are not limited to: -Yoga, Breathwork, Thai Bodywork, Reiki, Meditation, Wellness Coaching, Guided hikes and nature experiences, Sound immersions (also known as sound baths or sound healing) using, but not limited to: gongs, crystal and metal singing bowls, tuning forks (which may or may not be used directly on the body), drums, chimes, vocal toning, crystal pyramids, and flute - Floating sound experiences (laying, sitting, or floating on pool floats, paddle boards, kayaks, or air mats on water such as pools, lakes, rivers, etc.) - Sound experiences while laying on a massage table or elsewhere.These activities may take place in Saratoga, the Capital Region of New York, and surrounding areas. 2. ASSUMPTION OF RISK I understand that participation in these services may involve physical movement, emotional exploration, proximity to water, touch during bodywork, and sound vibrations that affect the body and nervous system. I recognize there are risks involved, including but not limited to: injury, illness, emotional discomfort, allergic reaction, slipping, falling, water-related accidents, or death.I voluntarily assume all risks of harm or injury and waive any claim against Zhen Health N’ Wellness LLC, DBA Resonance and Release, its owners, employees, contractors, volunteers, and affiliates. 3. WAIVER OF LIABILITY I hereby release, waive, discharge, and hold harmless Zhen Health N’ Wellness LLC, DBA Resonance and Release, its owners, employees, contractors, facilitators, volunteers, and affiliates from any and all liability, claims, demands, losses, or damages caused or alleged to be caused in whole or in part by my participation in any activities, including negligent acts or omissions (except for gross negligence or intentional misconduct). 4. MEDICAL DISCLAIMER I understand these services are not medical treatment or mental health care. I affirm that I am physically and emotionally able to participate and have disclosed any medical or psychological conditions that could affect my safety. I take full responsibility to consult a licensed healthcare provider if needed before engaging in these services. I understand that wellness coaching is not a substitute for licensed therapy, medical advice, or clinical intervention. 5. WATER SAFETY & FLOATING SOUND EXPERIENCES I understand floating sound experiences may take place in or near water and involve the use of floating equipment in pools, lakes, rivers, or other natural bodies of water. I confirm that I am a capable swimmer or will take appropriate precautions if not. I accept full responsibility for my safety in and around water. 6. SOUND EXPERIENCES ON MASSAGE TABLES I understand that sound healing may also be performed while I am lying on a massage table, and instruments may be placed near or on the body. I consent to the use of sound tools in this context and understand I may request modifications or stop the session at any time. 7. MEDIA CONSENT AND RELEASE I grant permission to Zhen Health N’ Wellness LLC to use my image, voice, and likeness in photographs, video, or audio recordings taken during participation for marketing, educational, or promotional purposes in print and digital formats, including social media. I waive any right to inspect, approve, or be compensated for such use. I may request in writing not to be recorded. 8. SEVERABILITY & GOVERNING LAW If any portion of this waiver is found unenforceable, the remaining parts shall continue in effect. This waiver is governed by the laws of New York State, and any disputes will be resolved in a court located in Saratoga County or a mutually agreed venue within the Capital Region. I HAVE READ THIS AGREEMENT, UNDERSTAND ITS CONTENTS, AND VOLUNTARILY AGREE TO ITS TERMS. I understand and agree that attending the floating sound bath involves entering a body of water and I do so at my own risk. I acknowledge the risks involved and agree to hold harmless the organizers from any liability.
*
Please indicate sign-up type. Sliding Scale Pricing
*
$35-45 Poolside Seating
$55-75 Floating in Pool
Please send payment to venmo.com/zhenmentality
*
Amount Paid
Venmo Username
Submit
Should be Empty: