MEDITATION NEW CLIENT FORM

Name *
Name
Phone *
Phone
Address *
Address
Please describe what you would like accomplish through our meditation sessions?
Please include session date and time preferences and any additional details/requests for your session.
I acknowledge that I am voluntarily participating in Meditation sessions with Vanessa Thomas. I acknowledge and understand that I am responsible for all aspects of my health and well-being. I further recognize and understand that the instructions and advice presented to me during the sessions are in no way intended as substitutes for medical and/or other professional counselling. If I have any health concerns that may interfere with my participation in the meditation sessions, I understand that I should consult my healthcare provider before beginning the meditation exercises. If I experience pain or difficulty that is cause for concern during or after practicing the meditation exercises, I understand that I should stop immediately and consult my healthcare provider before continuing on with the meditation exercises. I recognize, understand, and assume all risks associated with my voluntary participation in the sessions, including, but not limited to, those risks that may result in personal injury and death. In giving my informed consent to participate in the guided meditation, I hereby release Vanessa Thomas from any and all claims, now or in the future, that I may have as a result of my voluntary participation in the coaching. By typing your name below and selecting the checkbox below, you are signing this agreement electronically. You agree your electronic signature is the equivalent of your manual signature on this Agreement.
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