Mindful Massage & Healing Waiver Form

 

This MINDFUL MASSAGE & HEALING WAIVER FORM (this "Waiver") dated __________________.

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IN CONSIDERATION of being allowed to participate in the services and other good and valuable consideration, the receipt of which is hereby acknowledged, I ___________________________ of ________________________________________ (the "Participant") agree with Mindful Massage & Healing of Port Hardy, BC, Canada (the "Activity Provider") to the following:

 

DETAILS OF ACTIVITY
1. The Participant will be participating in any of the following services: by Massage & Healing

Services (the "Services") provided by the Service Provider.

 

CONSIDERATION

1. Being of lawful age and in consideration of being permitted to participate in these services, the Participant releases and forever discharges the Service Provider, its owners, directors, officers, employees, agents, assigns, legal representatives, and successors from all manner of actions, causes of action, debts, accounts, bonds, contracts, claims, and demands for or by reason of any injury to person or property, including injury resulting in the death of the Participant, which has been or may be sustained as a consequence of the Participant's participation in these services, and not withstanding that such damage, loss, or injury may have been caused solely or partly by the negligence of the Service Provider.

2. The Participant understands that the Participant would not be permitted to participate in these services unless the Participant signed this Waiver.

 

CONCURRENT RELEASE

4. The Participant acknowledges that this Waiver is given with the express intention of effecting the extinguishment of certain obligations owed to the Participant by the Service Provider, and with the intention of binding the Participant's spouse, heirs, executors, administrators, legal representatives, and assigns.

 

FITNESS TO PARTICIPATE

5. The Participant acknowledges to the Service Provider that the Participant does not have any physical limitations, medical ailments, or physical or mental disabilities that would limit or prevent the Participant from participating in the Service. If required, the Participant will obtain a medical examination and clearance.

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FULL AND FINAL SETTLEMENT

6. The Participant acknowledges and agrees with the Service Provider that: (1) the Service Provider has given the Participant sufficient time to carefully read this Waiver, (2) the Participant has been given the opportunity and has been encouraged to seek independent legal advice prior to signing this Waiver, (3) the Participant fully understands the risks and claims that the

Initials: ______________________________

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Participant is waiving to participate in the Service, (4) the Participant is freely and voluntarily executing this Waiver, and (5) the Participant is forever prevented from suing or otherwise claiming against the Service Provider for any property loss or personal injury that the Participant may sustain while participating in or preparing for the Service.

 

GOVERNING LAW
7. This Waiver will be governed by and construed in accordance with the laws of the Province of

British Columbia.

 

EMERGENCY CONTACT
8. Name: _____________________________

Phone: _____________________

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I have read and understood the contents of this waiver, and I voluntarily agree to its terms and conditions by signing below ______________________________ (Participant Signature).