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Client Release and Waiver of Liability Agreement

Client Release and Waiver of Liability Agreement


This Release and Waiver of Liability (the "Release") is executed, by the undersigned (the "Client") in favor of Richelle Masse (the "Practitioner") located at London, Ontario, Canada, offering Reiki, Breathwork, and other related wellness practices (the "Services"). The Client desires to receive such Services and fully understands and acknowledges the risks and responsibilities associated with participating in such practices. 


1. Voluntary Participation I, the Client, acknowledge that my participation in Reiki, Breathwork, and other wellness practices offered by the Practitioner is completely voluntary. I understand that Reiki and Breathwork are complementary healing techniques intended to promote relaxation, energy balancing, and stress reduction but are not substitutes for medical treatment or psychological therapy.


2. Acknowledgment of Risks I understand that while Reiki and Breathwork are generally considered safe, there are inherent risks associated with any form of therapeutic practice. These risks may include, but are not limited to:

  • Emotional, physical, or psychological reactions, such as discomfort, dizziness, light-headedness or feelings of distress, anxiety, or emotional release during or after sessions. I understand that I may stop the session at any time if I feel uncomfortable.
  • Any pre-existing physical or psychological condition that may be affected by the session.
  • Temporary fatigue, headaches, or other symptoms as a result of energy balancing.

I fully acknowledge these risks and understand that it is my responsibility to inform the Practitioner of any medical conditions, injuries, or concerns prior to the start of the session.


3. No Medical Treatment I acknowledge that the Services provided by the Practitioner are complementary to, but not a substitute for medical or psychological treatment. I am solely responsible for seeking medical advice for any conditions, injuries, or health concerns I may have. I acknowledge that the Practitioner is not a licensed medical professional and does not diagnose, treat, or prescribe medication for any medical condition.I confirm that I have consulted with my primary care physician or relevant healthcare provider regarding my participation in these sessions, especially if I have any medical conditions, including but not limited to high or really low blood pressure, glaucoma or retinal detachment, osteoporosis or recent significant physical injuries/surgeries, cardiovascular disease (including angina or a history of heart attack), severe mental health issues (including Bipolar disorder, Schizophrenia, severe PTSD), epilepsy or seizure disorders, aneurysm history (personal or family), COPD, pregnancy (without approval from a primary caregiver).If you have asthma, please have your inhaler available during the session and consult with a medical professional before participating. 


4. Release of Liability I hereby release, waive, discharge, and hold harmless the Practitioner, their employees, agents, and contractors, from any and all liability, claims, demands, actions, or causes of action, arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by negligence or otherwise, while participating in the Services.


5. Assumption of Responsibility I assume full responsibility for my health and well-being in connection with Reiki, Breathwork, and other wellness services. I confirm that I am in adequate physical and mental condition to participate in these practices. I also acknowledge that I have had the opportunity to ask any questions regarding the practices and potential risks and have received satisfactory answers to my questions.


6. Confidentiality I understand that any information shared during my session is kept confidential, except when disclosure is required by law or is necessary to protect me, the Practitioner, or others from harm.


7. Photo and Recording Release I grant permission to Richelle Masse to take photographs, video, or audio recordings of me during the sessions. These may be used for promotional or marketing purposes by the Practitioner. I waive any rights to review or approve the use of these materials and release the Practitioner from any liability related to their use.


8. Governing Law This Release shall be governed by and interpreted in accordance with the laws of the Province of Ontario, Canada. Any disputes arising out of or in connection with this agreement shall be resolved in the courts of Ontario.


9. Severability If any portion of this Release is found to be invalid or unenforceable, the remaining sections shall remain in full force and effect.


10. Informed Consent I certify that I am 18 years of age or older (or if under 18, I have a parent or guardian's signature) and legally capable of entering into this Release. I have read this waiver and fully understand its terms. I understand that I am giving up substantial rights, including the right to sue. I acknowledge that I am signing this waiver freely and voluntarily and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

Sign the waiver here >>> https://waiver.fr/p-gSWxC 

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