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DISCLAIMER, NON-DISCLOSURE & RELEASE OF LIABILITY FORM 

 

DISCLAIMER, NON-DISCLOSURE & RELEASE OF LIABILITY FORM 

I hereby affirm that the information provided in the Client Medical Screen sent via Google Forms is a complete and accurate statement of my physical, psychological, and emotional condition, which may affect my participation. I understand and have been informed that failure to fully and honestly disclose information could result in harm to myself or others. I agree to indemnify and hold harmless Sarah Collette and any assistants if relevant information is not disclosed. I also agree to notify Sarah Collette immediately should there be any changes in health status or prescription medications. __________

Please note that Sarah Collette  is offering education and spiritual coaching for the purpose of healing, transformation, growth, and consciousness expansion. Please take ownership over the choices you are making for your body, your physical and mental health, and your life. Please do your own research and act to be informed. Please be aware that Sarah Collette is not a medical doctor, or a licensed psychotherapist or psychologist. Any activities you may choose to participate in related to this education and coaching is of your own free will and choice, and not based on any recommendation from any outside parties, including Sarah Collette._____________ 

CONFIDENTIALITY & NON-DISCLOSURE AGREEMENT

 I ______________________________________ HEREBY UNDERSTAND THAT ALL OF THE CONTENT SHARED WITHIN THIS EDUCATIONAL COACHING RELATIONSHIP INCLUDING IN-PERSON EXCHANGES, EMAIL, TEXT, APP MESSAGES, OR WRITTEN CONTENT ARE CONFIDENTIAL AND NOT TO BE SHARED WITH PEOPLE OUTSIDE OF THIS RELATIONSHIP. I AGREE TO KEEP ALL PARTICIPANT’S IDENTITIES STRICTLY CONFIDENTIAL. I UNDERSTAND THAT COACHING SESSIONS AND HEALING CEREMONIES ARE NON-REFUNDABLE. 

ACCIDENT WAIVER AND RELEASE OF LIABILITY 

I ______________________________________ HEREBY RELEASE SARAH COLLETTE AND ANY ASSISTANTS FROM LIABILITY FOR ANY ACTIVITIES I CHOOSE TO PARTICIPATE IN, IN RELATION TO THIS EDUCATIONAL AND SPIRITUAL CEREMONIAL COACHING RELATIONSHIP. 

By signing this, I EXPRESSLY ACKNOWLEDGE THAT THE INFORMATION I RECEIVE FROM SARAH COLLETTE IS FOR INFORMATIONAL AND EDUCATIONAL PURPOSES ONLY. 

I acknowledge that this activity may involve a test of a person’s physical, mental, and emotional limits and carries with it the potential for serious injury. 

I hereby act for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: 

  1. I WAIVE, RELEASE, AND DISCHARGE SARAH COLLETTE and any assistants from any and all liability including but not limited to, liability arising from any activity I choose to participate in related to this education and coaching relationship. 

  2. INDEMNIFY, HOLD HARMLESS AND PROMISE NOT TO SUE Sarah Collette or any assistants as a result of participation in this education and coaching relationship. This Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.

I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, DISCLAIMER, NON-DISCLOSURE, AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL. 

PARTICIPANTS NAME: ___________________ 

PARTICIPANTS SIGNATURE: ______________

DATE: ___________________

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