Craniosacral therapy is a gentle, non-invasive form of bodywork that seeks to release tension and improve the functioning of the central nervous system. It is not a substitute for medical treatment or diagnosis by a licensed healthcare professional.
Acknowledgment and Consent
I, the undersigned, acknowledge and agree to the following:
1. Voluntary Participation:
I understand that participation in craniosacral therapy is voluntary and that I may stop or modify the session at any time.
2. Nature of Craniosacral Therapy:
I understand that craniosacral therapy involves light touch and gentle techniques to support my body’s natural healing processes.
I acknowledge that the therapy is not intended to replace medical treatment or professional healthcare services.
3. Medical Disclaimer:
I confirm that I have disclosed all relevant medical conditions, injuries, or health concerns to the therapist prior to the session.
I understand that no medical diagnosis, treatment, or prescription will be provided during the session.
4. Assumption of Risk:
I understand that, while craniosacral therapy is considered safe, results may vary, and I am responsible for communicating any discomfort or concerns during the session.
5. Confidentiality:
I acknowledge that all information shared during sessions will remain confidential, in accordance with applicable privacy laws.
6. Cancellation Policy:
I agree to the cancellation policy as outlined by the therapist and understand that missed appointments or late cancellations may result in charges.
Waiver of Liability
I hereby release and hold harmless Mitch Clark and Power Yoga Sudbury from any and all liability, claims, or damages arising from my participation in craniosacral therapy, except in cases of proven negligence.
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BY SIGNING THIS DOCUMENT YOU WILL WAIVE OR GIVE UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE FOR NEGLIGENCE, BREACH OF CONTRACT OR BREACH OF THE OCCUPIERS LIABILITY ACT OR CLAIM COMPENSATION FOLLOWING AN ACCIDENT. PLEASE READ CAREFULLY!
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GENERAL ASSUMPTION OF RISK & LIMITATION OF LIABILITY
By signing this contract and/or checking the box below, I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself including, but not limited to, personal injury, disability, death, illness, COVID-19, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at 1988155 Ontario Ltd. o/a Power Yoga Canada Sudbury (hereinafter referred to as "Power Yoga Canada Sudbury"). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Power Yoga Canada Sudbury, its employees, agents, and representatives, of and from the services, programming, or trainings including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Power Yoga Canada Sudbury, its employees, agents, and representatives.
In signing this contract and/or checking the box below I agree to:
AWARENESS OF RISKS
I acknowledge that the services offered by Power Yoga Canada Sudbury is limited to that of instruction in basic yoga, Breathwork, Thai Yoga Massage, Craniosacral Therapy, Teeth Whitening, use of the "Cocoon Fitness Pod", and fitness training.
I acknowledge that there are risks associated with participation in any or all the activities, programs or trainings offered or sponsored by Power Yoga Canada studios. I have informed myself and understand the risks associated with my participation in these activities, services, programs and trainings and (where applicable) my use of the facilities, including the risk of serious and/or permanent personal injury, and I freely accept these risks.
I understand that I am free to withdraw from or reduce my participation in the activities, services, programs and trainings offered or sponsored by Power Yoga Canada Sudbury at any time.
I am not aware of any medical condition that would affect my ability to participate in the activities, services, programs or trainings offered or sponsored by Power Yoga Canada Sudbury. If I have any concerns about my medical condition. I will consult with my physician before participating in the activities, services, programs or trainings offered or sponsored by Power Yoga Canada Sudbury.
RELEASE AND WAIVER
In consideration of the acceptance of my registration for the activities and programs offered or sponsored by Power Yoga Canada Sudbury, I hereby for myself, my heirs, executors, administrators, or any others who may claim on my behalf, promise not to sue, and hereby waive, release and discharge Power Yoga Canada Sudbury and anyone acting for or on its behalf, from any and all claims of liability for personal injury, illness, loss of life or property damage of any kind or nature, arising out of or sustained in the course of my participation in the activities and programs offered or sponsored by Power Yoga Canada Sudbury or related events both on and off of the Power Yoga Canada Sudbury Premises. This Release and Waiver applies to all claims, foreseen or unforeseen, including negligence and breach of statutory or other duty of care (including that owed under The Occupier's liability Act). I agree that this Agreement and Release and Waiver is intended to be as broad and inclusive as permitted by law. Any provision found to be invalid or unenforceable by a court shall not affect the validity or enforceability of any other provision. I hereby agree that I will not bring or consent to others bringing claim or action against Power Yoga Canada Sudbury on the grounds that anything contained in the Property, or in the advertising and publicity used in connection herewith, is defamatory, violates any other right whatsoever, including, without limitation, rights of privacy and publicity. I hereby release Power Yoga Canada Sudbury, its organizers, directors, agents, officers, officials, servants, representatives, assigns and successors from and against any and all claims, demands, actions, causes of actions, suits, costs, expenses, liabilities, and damages whatsoever that I may hereafter have against Power Yoga Canada Sudbury in connection with the Property. This agreement shall not obligate Power Yoga Canada Sudbury to use the Property or to use any of the rights granted hereunder, or to prepare, produce, exhibit, distribute or exploit the Property.
By engaging in a relationship with Power Yoga Canada Sudbury, I agree to be bound by this policy and it forms part of my agreement, whether as contractor, employee or volunteer with the organization and/or its affiliates. I understand that Power Yoga Canada Sudbury strongly recommends that I consult with my physician prior to commencing any classes and programs. By signing this document, I acknowledge that I have been fully informed of this service and the possibility of adverse physiological occurrences including, but not limited to: abnormal blood pressure, fainting, heart attack or death.
By signing this document, I assume all risk for my health and well-being, and fully release and hold harmless for any responsibility, cost or damages Power Yoga Canada Sudbury, its instructors, members and employees. I release Power Yoga Canada Sudbury of the foregoing and each of their respective partners, officers, directors, employees, volunteers, agents, executors, administrators, successors, and assigns ("the Released Parties") at my own risk and I agree to forfeit any and all forms of legal recourse which may be available to me, including but not limited to any form of damages, as a result of your participation in the classes or programs.I have read this document carefully and acknowledge that I have complete knowledge and understanding of its contents. I recognize that by signing this document I am waiving certain legal rights, including the right to sue. I am signing this document voluntarily.I am signing this contract or clicking this box and agreeing to this document voluntarily. I am over the age of 18 years old. I hereby acknowledge and agree that I, and any minor* under my care, fully release.
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THIS RELEASE AGREEMENT SHALL APPLY TO ALL SUBSEQUENT POWER YOGA CANADA SUDBURY'S SERVICES AND PROGRAMS. POWER YOGA CANADA SUDBURY'S LIABILITY IS EXCLUDED BY THIS RELEASE AGREEMENT.
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Client Declaration
I have read and fully understand the terms of this waiver. By signing, I voluntarily agree to participate in craniosacral therapy sessions and accept the terms outlined above.
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