Wonderful Land of Oils, LLC Client Agreement
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PERSONAL INFORMATION
First and Last Name *
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Email Address *
Emergency Contact Name and Phone Number *
MEDICAL HISTORY
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Please list any recent or existing injuries or illness *
Please list any current medications or supplements
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WAIVER & RELEASE
I acknowledge that I am voluntary participating in the therapies that I have chosen and use of any recommended essential oils or other products. I understand and voluntarily accept the risks associated with the use of essential oils and any recommendations, services or treatments provided by Patrice Freeland and/or Wonderful Land of Oils, LLC including but not limited to AromaTouch, Symphony of the Cells, essential oil treatments/therapies, Access Bars, Reiki, iTOVi scans, iTOVi DNA analysis, Oracle Card Readings and Wellness Planning or Recommendations as well as the use of any of the location’s facilities, including my own home. I acknowledge that I am of sound mind and stable emotional and mental state. I understand that there is no guarantee of result of the use of any product or treatment provided by Patrice Freeland or Wonderful Land of Oils, LLC.

If I am receiving Oracle Card Readings or other intuitive guidance, I understand that the provided information is subject to interpretation and should not be taken as absolute. Intuitive guidance and Oracle Readings are never 100% accurate. All intuitive guidance or Oracle Card Readings given by Patrice Freeland or Wonderful Land of Oils, LLC are for entertainment purposes only, and no guarantee can be given as to the accuracy of a reading. Intuitive guidance or Oracle Card Readings do not replace professional medical/legal/business opinion and advice. I understand that intuitive guidance or Oracle Card Readings cannot force you to follow a particular course of action, or attempt to exert any form of control over your free-will and common sense. The contents of the intuitive guidance or Oracle Card Readings are not legally binding. Any decisions made, or actions taken by you as a result of your received intuitive guidance or Oracle Card Reading are your sole responsibility and have not been forced upon you, by Patrice Freeland or Wonderful Land of Oils, LLC. Patrice Freeland and Wonderful Land of Oils, LLC do not assume any legal liability for any damages, losses, or other consequences of any client decisions, subsequent to, or based on, the received intuitive guidance or Oracle Card Reading. Please use your own common sense and judgment at all times. It is only with the complete understanding and acceptance of the above that your Reading will take place.

Except where prohibited by law; I acknowledge and voluntarily assume the risk of injury, accident or death which may arise from the use of any essential oils, products, treatments, or any other program, event or activity provided by Patrice Freeland or Wonderful Land of Oils, LLC. I agree that Patrice Freeland and Wonderful Land of Oils, LLC will not be liable for death or any injury, including, without limitation, personal, bodily or mental injury, economic loss or damage to me or my property resulting from negligence, other acts performed by Patrice Freeland and Wonderful Land of Oils, LLC, anyone acting on Patrice Freeland's or Wonderful Land of Oils, LLC's behalf, or anyone using the services of the facilities of Patrice Freeland and Wonderful Land of Oils, LLC, to the fullest extent permitted by law.

This agreement together with Patrice Freeland and Wonderful Land of Oils, LLC wellness plan rules and regulations, constitute the entire agreement between you and us and cannot be amended, except in writing by both parties. Myself and/or any of my heirs, executors, representatives, or assigners hereby release Patrice Freeland and Wonderful Land of Oils, LLC from all claims or liabilities for death, personal injury or property loss or damages of any kind sustained while on the premises, during the use of essential oils and/or products sold by Patrice Freeland and Wonderful Land of Oils, LLC and/or from any advice or services provided by an employee, independent contractor or any representative of Patrice Freeland and Wonderful Land of Oils, LLC. I agree that this application and waiver is in effect for all product sales and services, and will not expire unless specifically requested by either party.


I acknowledge and agree that typing in my signature and date below constitute a legally binding electronic signature to this Waiver and Release form.
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FDA DISCLAIMER

These statements have not been evaluated by the FDA. I understand that Patrice Freeland and Wonderful Land of Oils, LLC do not diagnose illness or prescribe medical treatments or pharmaceuticals and that services rendered are not medical in nature and are not a substitute for diagnosis and treatment by a licensed medical professional. Essential oils, products and services provided by Patrice Freeland and Wonderful Land of Oils, LLC are not meant to diagnose, treat, cure or prevent disease or illness.
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