• Health Autonomy Method

    Participation Waiver And Release Form
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  • Format: (000) 000-0000.
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    Health Autonomy Method
    Coaching, Education, and Speaking Services Waiver & Agreement
    This Waiver and Agreement (“Agreement”) is entered into voluntarily by the undersigned participant or hiring organization (“Client”) engaging services provided by Candace N. Lassiter-Oates (“Provider”).

    By signing this Agreement, the Client acknowledges and agrees to the following:


    1. Voluntary Participation
    The Client understands that participation in any services provided by the Provider—including but not limited to health coaching, wellness workshops, educational programs, speaking engagements, consultations, group programs, and related services under the Health Autonomy Method—is completely voluntary.

    The Client has chosen to participate of their own free will and accepts full responsibility for their decisions and actions related to participation.


    2. Educational and Informational Purposes Only
    The Client acknowledges that all information, coaching, presentations, and materials provided by the Provider are intended solely for educational, informational, and motivational purposes.

    The services provided are designed to support individuals in developing greater awareness, autonomy, and personal responsibility in lifestyle behaviors related to health and wellbeing.


    3. Not Medical Advice
    The Client understands and agrees that:

    The Provider is not a medical doctor.
    The Provider is not a registered dietitian or licensed nutritionist.
    The Provider does not diagnose, treat, prevent, or cure medical conditions.
    The Provider does not prescribe medications, medical treatments, or therapeutic protocols.
    All information provided should not be interpreted as medical advice.


    4. Consult Your Healthcare Provider
    The Client agrees that they are responsible for consulting with their physician, registered dietitian, licensed healthcare professional, or other qualified medical provider before making any health-related changes, including but not limited to:

    Diet or nutrition changes
    Exercise or physical activity
    Lifestyle modifications
    Supplements or wellness practices
    The Client acknowledges that they should seek medical advice regarding any questions related to their health or medical conditions.


    5. Personal Responsibility
    The Client understands that they are fully responsible for their own health decisions, actions, and results.

    The Provider does not guarantee specific outcomes or results from participation in coaching, workshops, presentations, or educational materials.


    6. Assumption of Risk
    The Client acknowledges that participation in wellness discussions, lifestyle change programs, physical activity discussions, or coaching related to health may involve inherent risks.

    The Client voluntarily assumes all risks associated with participation and agrees that the Provider shall not be held responsible for any injury, illness, loss, or damages that may occur.


    7. Professional Credentials
    The Client acknowledges that the Provider holds professional certifications as a:

    Certified Health Coach and Certified Personal Trainer through the
    American Council on Exercise

    The Client understands that this certification is accredited by the
    National Commission for Certifying Agencies, which establishes national standards for professional credentialing programs.

    These certifications do not constitute licensure to practice medicine, nutrition therapy, or other regulated healthcare professions.


    8. No Refund Policy
    All services provided by the Provider—including coaching services, speaking engagements, workshops, consulting, and program participation—are non-refundable unless otherwise specified in a separate written agreement.

    By engaging services, the Client acknowledges and agrees to this no-refund policy.


    9. Organizational Responsibility (For Corporate or Event Clients)
    Organizations hiring the Provider for speaking engagements, workshops, or programs acknowledge that:

    The Provider delivers educational content only.
    The organization is responsible for communicating to participants that the session does not replace medical care.
    Participants are responsible for their own health decisions and participation.

    10. Release of Liability
    To the fullest extent permitted by law, the Client agrees to release, waive, discharge, and hold harmless the Provider, including its employees, contractors, affiliates, and representatives, from any and all liability, claims, demands, actions, or causes of action arising out of or related to participation in services provided under the Health Autonomy Method.

    This includes but is not limited to claims related to:

    Injury
    Illness
    Medical complications
    Emotional distress
    Financial loss
    Any other damages arising from participation.

    11. Agreement to Terms
    By signing this Agreement, the Client acknowledges that they have read, understood, and voluntarily agree to all terms outlined above. I attest and understand that an electronic signature is utilized and upheld the same and a physical written signature. 

     

    For any Movement Activities:

    I am aware of the dangers of attending this event on this particular date. I promise not to hold the company, its officers, agents, or employees liable or pursue legal action against them. This waiver absolves the company of any duty for injuries sustained on the premises before to, during, or after the activity.
    By signing this agreement, I agree to hold the company completely harmless, including financial responsibility for any injuries sustained, regardless of the cause or circumstances.
    I will do all in my power to obey corporate staff and all safety requirements, and I will seek clarification if necessary.

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