La Luna Cuddle Therapy Waiver and Agreement
Please review and acknowledge each statement below before booking your session. Your consent is required to participate.
I confirm that I am 18 years of age or older and legally able to consent to this service. I acknowledge that the practitioner reserves the right to request valid photographic identification at any time, where reasonably necessary, to verify age. Failure to provide suitable identification upon request may result in the session being declined or terminated, with applicable charges remaining in place.
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I acknowledge and agree to the above statement.
I understand that cuddle therapy is a professional, strictly platonic, and non-sexual service. All sessions are fully clothed and focused on emotional wellbeing, relaxation, and supportive human connection. I acknowledge that cuddle therapy is not a substitute for medical, psychological, or therapeutic treatment, and no medical or clinical advice is provided.
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I acknowledge and agree to the above statement.
I confirm that I am participating in sessions voluntarily and that I am responsible for my own physical, emotional, and mental wellbeing during and after the session. I understand that I may stop or decline any form of interaction at any time.
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I acknowledge and agree to the above statement.
I agree to respect all professional boundaries set by the practitioner. Any form of inappropriate, suggestive, or sexual behaviour is strictly prohibited. I understand that if boundaries are violated, the session may be terminated immediately, and full payment will still apply.
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I acknowledge and agree to the above statement.
I confirm that I am physically and emotionally fit to participate in cuddle therapy and any associated wellbeing activities. I agree to disclose any relevant medical, physical, or mental health conditions that may affect my ability to participate safely. If I am unsure, I will seek advice from a qualified professional prior to booking.
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I acknowledge and agree to the above statement.
I understand that the practitioner reserves the right to assess suitability and may decline or terminate a session if it is deemed unsafe or inappropriate to proceed.
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I acknowledge and agree to the above statement.
For safety purposes, I acknowledge and agree that the practitioner may operate a Safety Buddy system, which may include sharing limited and necessary session details with a trusted contact. This may include my first name (or initials), the session location/address, and the scheduled session time. This information is shared solely for safety and safeguarding purposes, in line with professional practice.
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I acknowledge and agree to the above statement.
I agree to participate in all sessions respectfully and in a way that supports a safe and professional environment for both parties.
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I acknowledge and agree to the above statement.
I understand that while all care is taken to provide a safe and supportive environment, I participate at my own risk. To the fullest extent permitted by law, I agree to release and hold harmless La Luna Cuddle Therapy and Agnes Wolkowska from any claims, liabilities, or damages arising from my participation, except in cases of proven negligence.
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I acknowledge and agree to the above statement.
This agreement is in place to support a safe, respectful, and professional experience for both you and myself. It outlines important information about the services provided, as well as boundaries, safety, and expectations.
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I acknowledge and agree to the above statement.
For sessions involving physical activity (such as tennis), I confirm that I am physically fit to participate and understand that I do so at my own risk.
I acknowledge and agree to the above statement (if applicable).
I understand that overnight sessions are structured, platonic, and include a period of rest. Continuous physical contact is not guaranteed, and all boundaries remain in place throughout the session.
I acknowledge and agree to the above statement (if applicable).
I understand that all sessions are conducted with discretion and confidentiality, and I agree to respect the privacy of the practitioner.
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I acknowledge and agree to the above statement.
I confirm that I have read, understood, and agree to the Terms & Conditions of La Luna Cuddle Therapy, and that I have made myself fully aware of them prior to booking.
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I acknowledge and agree to the above statement.
I understand that a £30 booking fee is required to secure any in-person Cuddle Therapy session, with the remaining balance to be paid in full prior to the session taking place.
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I acknowledge and agree to the above statement.
I understand that virtual sessions must be paid in full in advance before the session begins.
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I acknowledge and agree to the above statement.
I acknowledge that the £30 booking fee is refundable if the session is cancelled more than 48 hours before the scheduled start time. Cancellations made less than 48 hours before the session are non-refundable.
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I acknowledge and agree to the above statement.
By booking a session with La Luna Cuddle Therapy (Agnes Wolkowska), I confirm that I have read, understood, and agree to this Waiver & Consent Agreement in full.
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I acknowledge and agree to the above statement.
Print Name
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Signature
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Date
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Email
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