Waiver of Responsibility
I acknowledge that to Attend the Crystal Eggs Yoni Workshop you must be 18 years old or have signed authorization by a parent or legal guardian.
I am informed that the use of Yoni or vaginal eggs it's only for women who are already sexually active.
I am a willing participant in Aixa Y. Acosta and Amankay Birth Services LLC. Crystal Yoni Egg Workshop.
I will act with integrity by being on time, clean, properly dressed, and respectful in sessions.
I will demonstrate the appropriate behavior for the safety of everyone.
I will not attend any sessions while under the influence of drugs or alcohol.
I will obey the rules established by Aixa Y Acosta and other facilitators.
I understand that if I do not abide by these guidelines I will be removed from the activities and renounce to the refund of any paid fees for participation.
I am informed and aware of all conditions involved in these activities, I am fully aware of the risks and hazards connected with the activities.
Aixa Y. Acosta and Amankay Birth Services LLC practitioners are NOT Medical Doctors (MDs). Aixa Y. Acosta and Amankay Birth Services LLC practitioners are trained specialists who use non-invasive holistic Integrative Therapy practices to create a healthy environment for the mind, body and spirit.
I authorize Aixa Y. Acosta and Amankay Birth Services LLC to perform services to develop a natural, complementary health improvement program for me in order to assist me in improving my overall health and not for the treatment or “cure” of any disease. I understand that the services rendered are safe, non-invasive holistic methods of balancing the body’s physical and emotional needs.
I understand that I should continue to see any medical doctors I am currently under the care of, and that any prescription medication should not be altered without first consulting the Doctor who recommended it. Nothing said, done, typed, printed or reproduced by Aixa Y. Acosta and Amankay Birth Services LLC is intended to diagnose, prescribe, treat or take the place of a licensed physician.
I recognize and understand that, all people with any chronic or acute disease must be authorized by a physician in order to participate in these activities, and in not doing so I assume all responsibility in any unfavorable condition that these activities may have on my general health. I affirm and sign that my general health is good and that I am not under physician or psychiatric doctor's care for any condition, which will endanger my health or the health of other participants.
I am fully responsible for the consequences of my participation, before, during and after these activities.
I understand that Aixa Y. Acosta and Amankay Birth Services LLC is not liable for my healthcare.
I understand that Aixa Y. Acosta and Amankay Birth Services LLC does not require me to participate in these activities.
I voluntarily assume full responsibility in consideration of the access to participate in these activities, the undersigned for his/her spouse, legal representatives, their heirs and assigned hereby release, waive and discharge: Aixa Y Acosta and Amankay Birth Services LLC. facilitators, their spouses, parents, heirs and legal representatives and each of them from all liability for any loss, damage or claim, resulting from the undersigned's activities on the premises, caused by the negligence or otherwise of the organizers or their employees or voluntary helpers, and other individuals attending these activities. I release the organizers from any responsibility for harm to my person (mental or physical or emotional) and they shall not be held responsible or liable for any damages, injuries, financial loss or acts of God, including anything else not mentioned that may occur as a result of involvement or following my participation in these holistic treatments, practices, rituals and activities. These terms hereof shall serve as a release and assumption of risk for my heirs, executors, administrators, for all members of my family and all authorities.
In signing this document, I ACKNOWLEDGE AND REPRESENT THAT I HAVE READ AND UNDERSTAND THE FOREGOING WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT and that I am signing it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement have been made; I am at least Eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same.
