{"id":1512,"date":"2023-08-16T11:03:25","date_gmt":"2023-08-16T08:03:25","guid":{"rendered":"https:\/\/quantumspace.ro\/liability-waiver-release-form\/"},"modified":"2023-08-23T17:23:14","modified_gmt":"2023-08-23T14:23:14","slug":"liability-waiver-release-form","status":"publish","type":"page","link":"https:\/\/quantumspace.ro\/en\/liability-waiver-release-form\/","title":{"rendered":"Liability Waiver Release Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1512\" class=\"elementor elementor-1512 elementor-1280\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-88f524e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88f524e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70ef54c\" data-id=\"70ef54c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16f06eb elementor-widget elementor-widget-text-editor\" data-id=\"16f06eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #ffffff;\">Dear Customer,<br \/>At your first visit to our Center, you will be asked to sign this form in person. For the purpose of your reservetaion, please read it now to be informed.\u00a0<\/span><br \/><br \/><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-22c7547a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"22c7547a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2a5f060f\" data-id=\"2a5f060f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a7e7270 elementor-widget elementor-widget-text-editor\" data-id=\"3a7e7270\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #ffffff;\"><\/span><\/p>\n<h3><span style=\"color: #ffffff;\">Liability Waiver &amp; Release Form<\/span><\/h3>\n<p>\u00a0<\/p>\n<p><span style=\"color: #ffffff;\">I, ________________________________________ understand that products and services offered by <strong>&lt;NAME OF CENTER&gt;<\/strong> support the body, mind, and soul&#8217;s natural ability to create wellness in my life.\u00a0 I understand that <strong>&lt;NAME OF CENTER&gt;<\/strong> facilitators do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe\u00a0substances, nor interfere with the treatment of a licensed medical professional.\u00a0 I understand that energy healing, or any service provided by\u00a0<strong>&lt;NAME OF CENTER&gt;<\/strong> does not take the place of medical care.\u00a0 It is recommended\u00a0that I see a licensed physician\u00a0or licensed\u00a0health care professional for any physiological\u00a0or psychological ailment I may have. I understand that energy healing provided by <strong>&lt;NAME OF CENTER&gt;<\/strong> can complement any medical or psychological\u00a0care I may be receiving.\u00a0 I also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial.\u00a0 I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxation needed by the body to heal itself.\u00a0 <strong>&lt;NAME OF CENTER&gt;<\/strong> is not liable for my medical, mental, or emotional conditions before, during, or following any service provided by <strong>&lt;NAME OF CENTER&gt;<\/strong>.<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"color: #ffffff;\">I take personal responsibility for my well-being and with respect for myself I gratefully accept control of my choices.\u00a0 My heirs, guardians, legal representatives, and I hereby and forever release, waive, and discharge any claims against, <strong>&lt;NAME OF CENTER&gt;<\/strong>, and\/or any of their associates or affiliates. I take full responsibility and am responsible for all liability for loss or injury incurred while in association with <strong>&lt;NAME OF CENTER&gt;<\/strong> and\/or any of their associates or affiliates.<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"color: #ffffff;\">I have carefully read this agreement and fully understand its content.\u00a0 I am aware that this is a waiver and release of potential liability and a contract between the above noted parties and myself.\u00a0 I understand that this contract is binding and acknowledge that I am signing this of my own free will.<\/span><\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"189\">\n<p><span style=\"color: #ffffff;\"><strong>Member Signature:<\/strong><\/span><\/p>\n<\/td>\n<td width=\"473\">\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"189\">\n<p><span style=\"color: #ffffff;\"><strong>Date:<\/strong><\/span><\/p>\n<\/td>\n<td width=\"473\">\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<p><span style=\"color: #ffffff;\"><em>Month, Day, Year<\/em><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"189\">\n<p><span style=\"color: #ffffff;\"><strong>Printed Name:<\/strong><\/span><\/p>\n<\/td>\n<td width=\"473\">\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"189\">\n<p><span style=\"color: #ffffff;\"><strong>Address: <\/strong><\/span><\/p>\n<p><span style=\"color: #ffffff;\"><strong>\u00a0<\/strong><\/span><\/p>\n<\/td>\n<td width=\"473\">\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<p>\u00a0<\/p>\n<p><span style=\"color: #ffffff;\">________________________________________<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"color: #ffffff;\"><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dear Customer,At your first visit to our Center, you will be asked to sign this form in person. For the purpose of your reservetaion, please read it now to be informed.\u00a0 Liability Waiver &amp; Release Form \u00a0 I, ________________________________________ understand that products and services offered by &lt;NAME OF CENTER&gt; support the body, mind, and soul&#8217;s [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1512","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Liability Waiver Release Form - QUANTUM SPACE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/quantumspace.ro\/en\/liability-waiver-release-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Liability Waiver Release Form - QUANTUM SPACE\" \/>\n<meta property=\"og:description\" content=\"Dear Customer,At your first visit to our Center, you will be asked to sign this form in person. 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