• SOUND VIBRATION THERAPY WAIVER & CONSENT FORM

  • Sound Vibration Therapy is a non-invasive relaxation technique that utilizes various musical instruments to create a calming effect on one’s nervous system. “Sound Immersions” (also known as “Sound Baths”, “Sound Journeys”, and “Sound Meditations”) are composed of mostly gentle, relaxing sounds. However, it is still important that each person in attendance enters the experience with full awareness of their own health and limitations.

     

    Please take a moment to read and acknowledge the following information prior to the session. For liability purposes and for the safety of both you and the facilitator, by attending this session you agree to all the following:

    • Your participation is strictly voluntary, and you are responsible for your own health and wellbeing and the choice to partake.

    • You understand that Sound Vibration Therapy is for relaxation purposes only and its facilitator is not claiming to diagnose, treat, or cure any medical or mental health conditions.

    • You acknowledge that while Sound Therapy is not known to cause any physical or mental health conditions, certain vibrations and frequencies may trigger existing conditions that you may or may not be aware of. The facilitator is not responsible for any adverse effects that arise due to any known or unknown conditions. If you have any of the following conditions or any other questionable conditions not listed, it is advised to seek professional medical advice prior to attending any Sound Therapy session:
      • Sound induced PTSD
      • Sound induced epilepsy or seizure condition
      • Extreme sound sensitivity
      • Heart condition (including pacemakers)
      • Metal implants
      • Vertigo or other dizziness or inner ear condition
      • Any other physical or mental condition that may be worsened by specific sounds or vibrations

    • You understand that during the session you are encouraged to listen to your body. If at any point you feel uncomfortable or overwhelmed, feel free to adjust your position, sit up, stand up, open your eyes, and/or quietly step out.

    • You agree that if you prefer not to have instruments played directly over/on your body, you will notify the facilitator prior to the start of the session.

    • You understand that the facilitator is not responsible for loss or damage of personal property.

    • You agree that by choosing to participate, you take full responsibility for your surroundings and your physical, mental, and emotional responses during and after the session.

    • You understand and fully agree to the “You break it, you buy it!” concept and will use extreme caution around the facilitator's instruments.
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  • This form is valid for sessions facilitated by Lisa M. Parnell on behalf of Lotus Organics Day Spa & Wellness of Bloomington IL, insured by Associated Bodywork & Massage Professionals (ABMP).

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