Client Intake & Informed Consent Waiver Name First Last Date of Birth MM slash DD slash YYYY PhoneEmail Enter Email Confirm Email Date of Session MM slash DD slash YYYY Services Sound Healing/Sound Bath Reiki/Energy Work Spiritual Guidance Past Life Regression Life Coaching Light Spectrum Shamanism Consent & SignatureInformed Consent & Acknowledgment I understand that the services offered by New Human Holistic Studio are holistic, spiritual, and educational in nature and are intended to support personal growth, relaxation, awareness, and energetic balance. I acknowledge and agree that: • These services are not medical, psychological, or mental health treatment. • Practitioners do not diagnose, treat, cure, or prevent illness or disease. • These services are not a substitute for medical, psychological, or licensed professional care. I affirm that I am physically and mentally capable of participating and that I will seek appropriate professional care when needed. Personal Responsibility & Assumption of Risk I understand that holistic and spiritual practices may involve emotional release, physical sensations, altered states of awareness, or personal insights. I voluntarily choose to participate and accept full responsibility for my physical, emotional, mental, and spiritual well-being during and after sessions. I understand I may stop or modify a session at any time. Release of Liability In consideration of receiving services, I hereby release and hold harmless New Human Holistic Studio, its owners, practitioners, employees, and contractors from any and all claims, liability, or damages arising from my participation, including physical, emotional, or spiritual experiences. Past Life Regression & Spiritual Guidance Disclaimer I understand that past life regression and spiritual guidance are experiential and interpretive. Any imagery, insights, or messages are subjective and not guaranteed to be factual or predictive. I am responsible for how I interpret and apply any information received. No Guarantees I acknowledge that no guarantees have been made regarding outcomes, healing, insights, or results. I confirm that I have read, understand, and voluntarily agree to this intake and waiver.Client Signature First & Last Name Date MM slash DD slash YYYY Guardian Signature (if under 18) First & Last Name Date MM slash DD slash YYYY Human VerificationPlease answer the math question.
