Waiver

Your Information 

APPOINTMENT 

Energy Healing with Sarah Mitte 

Participant Waiver and Release 

In consideration of the risk of injury while participating in energy healing (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims, or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Sarah Mitte, From Hands to Hearts, LLC, its affiliates, managers, agents, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity. 

I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH AS PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHERS' NEGLIGENCE, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY. I UNDERSTAND ENERGY HEALING IS NOT A SUBSTITUTE FOR TRADITIONAL MEDICAL OR MENTAL HEALTH TREATMENT OR MEDICATIONS. 

I have read this agreement and waiver and agree to indemnify and hold harmless Sarah Mitte and From Hands to Hearts, LLC, against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If Sarah Mitte, From Hands to Hearts LLC incurs any of these types of expenses, I agree to reimburse Sarah Mitte, From Hands to Hearts, LLC. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of Sarah Mitte, From Hands to Hearts LLC, its agents and employees. 

I, the scheduled participant, affirm that I am of the age of 18 years or older, and that I am freely entering this agreement. I certify that I have carefully read this agreement, that I fully understand its content and that this release cannot be modified orally. I full understand that by participating in the aforementioned activity, I am giving up substantial rights for myself and for the minor children, and I do so voluntarily. I am aware that this is a release of liability and a contract and that I am entering it of my own free will and accord. I certify that I am the parent, legal guardian, or authorized agent of the minors listed below, and that to enter this agreement on their behalf. I also certify that the information provided below for each minor is true and correct. 

I have read the above waiver and release, I understand it, and I agree and participate voluntarily * 

Terms & Conditions 

I understand that Sarah Mitte is not a licensed medical provider or therapist and is not providing any medical diagnoses or treatment. Any information shared during sessions is to provide client support. 

Always consult your doctor or health care provider for a diagnosis and treatment plan.