Sound Bath + Reiki: Health Information and Release

What to expect

The sound bath. You rest on a mat or in a chair while we play live instruments such as crystal bowls, gong, chimes, and flute. Instruments are played near you, never on your body. Some sounds can be full and resonant.

Reiki (optional). Reiki is a gentle relaxation practice. You stay fully clothed while the practitioner rests her hands lightly on you, or holds them just above you, usually at the head, shoulders, or feet. You choose whether to receive it, and you can change your mind at any time.

During the session. You are always in charge of your own comfort. Sit up, shift position, open your eyes, or step out whenever you like. If you feel unwell or uncomfortable, let a facilitator know right away.

Health conditions and contraindications

Please read this section carefully. Sound and vibration can affect the body, and the conditions below can increase your risk of an adverse reaction. You are responsible for reviewing this list and deciding whether it is safe for you to attend.

Please do not attend if you:

• Have epilepsy or a seizure disorder that sound, vibration, or rhythm can trigger.
• Have been advised by your doctor to avoid loud sound, vibration, or sound therapy.

Do not attend unless your doctor has approved it if you:

• Have epilepsy or any seizure disorder.
• Have a pacemaker, implanted defibrillator, deep brain stimulator, or other implanted electrical device, or a heart arrhythmia, stent, shunt, or artificial heart valve. If your doctor approves, tell us so we keep instruments at least 8 inches away from you.
• Are pregnant, especially in the first trimester.
• Have a blood clot (such as DVT) or inflamed veins.
• Have had surgery in the past six weeks.
• Are living with a serious mental health condition, such as severe depression, anxiety, PTSD, or psychosis. Deep rest and sound can sometimes bring up strong feelings.

Please tell us before we begin if you:

• Wear hearing aids or a cochlear implant
• Are sensitive to sound (tinnitus, hyperacusis, or misophonia)
• Have a joint replacement or other metal implant
• Have a recent injury or open wound
• Get migraines or dizziness, or have vertigo
• Find it hard to get down to or up from the floor

We will help you find a comfortable spot, such as a chair or a place farther from the instruments, and adjust Reiki if needed. If you are unsure whether any of these apply to you, please check with your doctor before attending.

Acknowledgement and release

I understand that sound baths and Reiki are offered for relaxation and education. They are not medical or mental health treatment, and they do not replace care from my doctor or other health professionals. The facilitators do not diagnose, treat, or give medical advice, and they rely on the information I provide.

I have read the health information and contraindications on this form. I understand that people with the conditions listed may be at greater risk of an adverse reaction, such as a seizure, interference with an implanted device, dizziness, headache, nausea, or strong emotional reactions. It is my responsibility alone to decide whether it is safe for me to take part, to get my doctor's approval where this form advises it, and to tell the facilitators about anything that may affect my participation.

I understand that Reiki is optional and may involve light, clothed touch or hands held just above me, and that I may decline or stop it at any time. I may also change position, sit up, or leave at any time, and I will let a facilitator know right away if I feel unwell.

I am taking part voluntarily and at my own risk. I accept all risks that come with participating, known and unknown, including risks related to any health condition I have, whether or not I have disclosed it, and the risk of injury getting down to and up from the floor. To the fullest extent the law allows, I release and agree not to sue Evoke88 Collective, Susanne Duato, Evoke88's facilitators, contractors, and volunteers, and the host organization for any injury, illness, or loss arising from my participation, including claims based on their ordinary negligence. This release does not apply to gross negligence or intentional misconduct.

I am 18 or older. If the participant is under 18, a parent or guardian must sign and print their name below. An electronic signature on this form counts the same as a handwritten one.

Photos and video

We sometimes take photos or short videos at sessions to share on our website and social media. We never post your name without permission. Please let us know your preference.

Evoke88 carries liability insurance. Questions? We are happy to talk before you sign up.
Susanne Duato | sduato@evoke88.com | 617-835-6930 | evoke88.com