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Womb Ladies Qigong Liability Release Form

Womb Ladies Qigong

Liability Release Form 

By Signing below, you agree to the following:

  1. I take responsibility for all parts of myself in CHOOSING to join Womb Ladies Qigong.

  2. I willingly and consciously CHOOSE to partake in this coursework. 

  3. I understand that Womb Ladies Qigong is not a substitute for allopathic medical treatment or medications. 

  4. I understand that the Womb Ladies Qigong, Ceremonial Health LLC and Sarah Elena Barrios do not diagnose illnesses or injuries or prescribe medications. 

  5. I have clearance from my physician to join this coursework. (If necessary)

  6. I understand the risks associated with Womb Ladies Qigong include, but not limited to:

    1. Physical, emotional, and spiritual Detoxification

    2. Emotional Release

    3. Mental Clarity

    4. Heightened Sensitivity for the mental, emotional and physical bodies. 

    5. “Black Sand” a superficial appearance of bruising, caused by deep rooted detoxification

    6. A surfacing of undiscovered tender areas (on all levels, mind, body and spirit)

  7. I understand the Importance of informing the teacher (Sarah Elena) of all medical conditions and medications I am taking (that can possibly be contraindicated for certain treatments), and to let the teacher (Sarah Elena) know about any changes to these. I understand that there may be additional unknown risks based on my physical condition. 

  8. I understand that it is my responsibility to inform my teacher (Sarah Elena) of any discomfort I may feel during the coursework so I may adjust accordingly. I release Sarah Elena Barrios, and Ceremonial Health LLC From any liability that may occur in participating with Womb Ladies Qigong.

  9. I understand that I or the Sarah Elena, Ceremonial Health LLC may terminate my participation at any time. 

  10. I understand the context of this coursework is completely virtual and may have difficulties due to any technological errors.

  11. I understand being a virtual course, with multiple participants, it will not be possible to have constant direct/individual attention. 

  12. I understand that I have the option to purchase additional individual sessions with Sarah Elena, for one-on-one attention.

  13. I have been given a chance to ask questions about the Womb Ladies Qigong.

  14. I understand that there are no refunds once the course has begun. 

  15. I agree to show up the best way I can, in whatever condition that may be, practice non-judgment and positively share a cosmic container of Womb Ladies Qigong. (Even when not feeling my best.) 

  16. I am excited to join this journey of compassionate empowerment IN Relationship with my womb. 

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Thanks for submitting! Excited to be on this journey with you! Welcome to Womb Ladies Qigong! 

Copyright 2015-2021© Ceremonial Health LLC / Call 617-755-4299/ Bozeman MT 59715

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