Liability Waiver Form
For the Businesses of Yvonne Futch LLC & Tory Saks LLC
At 3111 Cole Street, Ste. #203, Dallas, TX 75204
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Email *
Client Full Name *
Date *
Consent for Participating in Any Workshops, Events or Reiki Trainings
I understand and agree that I am voluntarily participating in a workshop, attending an event or Reiki trainings held at 3111 Cole Street, Ste. 203, Dallas, Texas, 75204.

I am fully aware of the risks and hazards involved. I understand that any trainings, events or workshops are not a substitute for medical attention, examination, diagnosis or treatment.

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any workshop, event or Reiki trainings. I represent that I have no medical condition that would prevent my participation in any workshop, event or Reiki trainings.

I agree to assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of my participation. I knowingly voluntarily waive any claim I may have against Yvonne Futch and Tory Saks professionally and personally for any damages that I may sustain as a result of participating in a workshop, attending an event or Reiki trainings.

By participating in any workshop, event or Reiki trainings, I am acknowledging thatI have read this waiver and release of liability and fully understand its contents and voluntarily agree to the conditions stated above.
Consent for Treatment
I understand that, because Reiki involves breath, touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including the Flu and/or any viruses. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any/all legal claims related thereto. I give my consent to receive Reiki treatment from Yvonne Futch or Tory Saks.
Client E-Signature (type name below) *
By typing my name above, I confirm and consent use of my electronic signature to sign this document, and I acknowledge it is legally binding. *
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