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Coaching Waiver

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

What is your email address? *

What is your full name (legal name)? *

I voluntarily agree to sign this waiver and assumption of risk with full understanding that Gianna Contillo Badot, CHt, hereafter referred to as the Hypnotherapist, is not a medical doctor, nor a licensed mental health practitioner, and does not diagnose or treat any physical or mental disorders. *

I agree

I do hereby waive and release any and all claims of personal injury that may arise from the Hypnotherapy sessions. I further agree that the Hypnotherapist assumes no responsibility for the outcome of the process and for guaranteeing its efficacy. *

I agree

I certify that I am a competent adult assuming these risks and I take full responsibility for the results. I further certify that I am signing this waiver with my full legal name. This waiver and assumption of risk is effective as of today and may not be revoked, altered, amended, rescinded or voided, without prior written consent of the Hypnotherapist. *

I agree