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WAIVER

 

 

PARTICIPANT RELEASE AND KNOWLEDGE OF AGREEMENT

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I,  the Client, wish to participate in the wellness program offered by Sakiah Wellness. I understand there are inherent risks in participating in a program of strenuous exercise. Consequently, I have been examined by a physician of my choice and have obtained his/her approval for my participation in a wellness program within sixty (60) days of the date set forth below. No change has occurred in my physical condition since the date such approval was given which might affect my ability to participate in the wellness program. If a physician has not examined me, I agree to see a physician within sixty (60) days of the date set forth below to obtain his/her approval for my participation in a fitness program. I agree that Sakiah Wellness shall not be liable or responsible for any injuries to me resulting from my participation in the fitness program (whether at home, at the training studio, outdoors, or at a corporate, commercial, residential or other fitness facility) and I expressly release and discharge Sakiah Wellness Practitioners and its owners, employees, agents and/or assigns, from all claims, actions, judgments and the like which I or my heirs, executors, administrators or assigns may have or claim to have as a result of any injury or other damage which may occur in connection with my participation in the fitness program, excepting only an injury caused by the gross negligence or intentional act of such person or persons.

 

This Release shall be binding upon my heirs, executors, administrators and assigns. I understand that I am not obligated to perform nor participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during my sessions. I understand that should I feel lightheaded, faint, dizzy, nauseated, or experience pain or

discomfort, I am to stop the activity and inform my Practitioner.

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I understand the results of any program cannot be guaranteed and my progress depends on my effort and cooperation in and outside of the sessions. I understand that all rates are based on 30 minute sessions or longer and should I arrive late, there is no guarantee I will receive the full session with my Practitioner. In return, if My Practitioner is late for a session, I will still receive the full session time.

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I understand that Sakiah Wellness bills its clients on a pre-pay basis. Once my Practitioner and I have decided upon the type of package and payment plan I will purchase, payment must be made before the sessions are conducted. Credit cards, cash, wire transfers and checks made payable to MBS Wellness at Butterfield Bank account no. 0601598670011 as Health Practitioners

and Health Education are all accepted. I understand that all scheduled sessions are non-transferable and non-refundable. I also understand that all Private sessions must be redeemed within one year of purchase.

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I understand that Sakiah Wellness operates on a scheduled appointment basis for all Private sessions and thus, requires that I provide 24 hours notice when canceling an appointment. No charge will be levied should I cancel with MORE than 24 hours notice given. Should I cancel a session with 24 hours prior notice, I will be charged in full for that session. I understand that

Sakiah Wellness recommends that all cancelled sessions be rescheduled to ensure consistency and fitness progress.

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I understand that during a personal training session, my Practitioner may have to use Touch Training to correct alignment and/or to focus my concentration on a particular muscle area to be targeted. If I feel uncomfortable or experience any type of discomfort with Touch Training, I will immediately request that my Practitioner discontinue using this technique.

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I understand that the usage of any nutritional supplements is done under my own will and has not been prescribed or suggested by my Practitioner.

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I have read this Release and Terms of Agreement and I understand all of its terms. I sign it voluntarily and with full knowledge of its significance.

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