Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
Sign the waiver here >>> https://waiver.fr/p-gSWxC
Client Release and Waiver of Liability Agreement
This Release and Waiver of Liability (the "Release") is executed by the undersigned (the "Client") in favour of Richelle Masse (the "Practitioner"), located in London, Ontario, Canada, offering Reiki, Breathwork, and related wellness practices (the "Services"). The Client desires to receive such Services and fully understands and acknowledges the risks and responsibilities associated with participating.
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 these are complementary wellness techniques intended to promote relaxation, energy balancing, and stress reduction, but they 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, including but not limited to:
· Emotional, physical, or psychological reactions such as discomfort, dizziness, light-headedness, distress, anxiety, or emotional release.
· Effects on pre-existing medical or psychological conditions.
· Temporary fatigue, headaches, or other symptoms as a result of energy balancing.
I acknowledge these risks and accept that it is my responsibility to inform the Practitioner of any relevant medical or psychological conditions, injuries, or concerns prior to the session.
3. No Medical Treatment
I acknowledge that the Services provided are complementary to, but not a substitute for, medical or psychological treatment. The Practitioner is not a licensed medical professional and does not diagnose, treat, or prescribe medication.
I confirm that I have consulted my primary care physician or relevant healthcare provider before participating, especially if I have any of the following:
· Cardiovascular disease (including angina, heart attack history)
· High or low blood pressure
· Glaucoma or retinal detachment
· Osteoporosis or recent surgery/injury
· Severe mental health issues (Bipolar disorder, Schizophrenia, severe PTSD)
· Epilepsy or seizure disorders
· Aneurysm history (personal or family)
· COPD, asthma (in which case I will have my inhaler present)
· Pregnancy (without written approval from my primary caregiver)
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 from my participation in Services, except in cases of gross negligence or willful misconduct.
This Release applies to all Services, sessions, classes, workshops, retreats, and events (both in-person and online) facilitated by the Practitioner, including but not limited to Reiki, Breathwork, Sound Baths, Cacao Ceremonies, Yoga, and any other wellness practices that may be offered in the future.
I understand this Release only applies to Services directly provided by the Practitioner and does not extend to modalities offered by other facilitators at multi-practitioner events.
5. Assumption of Responsibility
I assume full responsibility for my health and wellbeing in connection with Reiki, Breathwork, and related services. I confirm that I am in adequate condition to participate. I acknowledge I have had the opportunity to ask questions about risks and practices and have received satisfactory answers.
In the event of a medical emergency, I consent to necessary medical care and understand I am solely responsible for any associated costs.
6. Confidentiality
I understand that information shared during sessions is kept confidential, except where disclosure is required by law or necessary to prevent harm. All personal information will be handled in accordance with the Practitioner’s Privacy Policy.
7. Photo and Recording Release
I grant permission for the Practitioner to take photos, video, or audio recordings of sessions for promotional purposes. I understand I may decline this permission at any time, and doing so will not affect my participation.
8. Ongoing Validity
This Release applies to my initial session and to all future sessions, classes, workshops, retreats, and events—whether online or in person—facilitated by the Practitioner. This Release remains valid unless revoked in writing by either myself or the Practitioner.
9. Governing Law
This Release shall be governed by and interpreted in accordance with the laws of the Province of Ontario, Canada. Any disputes will be resolved in Ontario courts.
10. Severability
If any portion of this Release is found to be invalid or unenforceable, the remainder shall remain in full force and effect.
11. Informed Consent
I certify that I am 18 years of age or older, or that my parent/guardian has signed on my behalf. I have read this Release, fully understand its terms, and acknowledge that I am waiving substantial legal rights, including the right to sue. I sign freely and voluntarily, intending this Release to be a complete and unconditional release of liability to the greatest extent allowed by law.
Sign the waiver here >>> https://waiver.fr/p-gSWxC
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