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Reiki Intake and Waiver

Please fill out the following form so we may prepare your session

I understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation. I understand that Reiki practitioners do not diagnose conditions nor do they prescribe or perform medical treatment. I understand that Reiki does not take the place of medical or psychological care. I understand that Reiki can complement any medical or psychological care I may be receiving.

I also understand that the body as the ability to heal itself and to do so, complete relaxation is often beneficial. 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.

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I hereby release and agree to hold Soul Shine LLC harmless from, and waive on behalf of myself, my heirs and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Soul Shine LLC.

I understand that this release discharges Soul Shine LLC from any liability or claim that I, my heirs, or any personal representatives may have against the store with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Soul Shine LLC.

This liability waiver and release extends to the store together with all owners, partners, and employees.

Thanks for submitting!

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