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Coaching Waiver

Please complete the coaching waiver below 24 hours prior to your first session.

First Name

Enter your first name.

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Last Name

Enter your last name.

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Please enter your email address.

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I voluntarily agree to sign this waiver and assumption of risk

You must agree to the waiver and assumption of risk.

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I waive and release any claims of personal injury from Hypnotherapy sessions

You must agree to release any claims of personal injury.

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I certify that I am a competent adult assuming these risks

You must certify that you are a competent adult assuming these risks.

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Signature

Please sign here to confirm your agreement to the waiver.

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