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Contact Carolin 904-200-5703

WAIVER

Client Participation & Liability Waiver

I, the undersigned, voluntarily participate in services provided by Carolin Conmy, LMT (Florida Massage License MA109601) (“Provider”).

These services may include, but are not limited to, Essential Somatics Movement Education, Somatics Movement, Hands-On Somatics, Somatics Massage, and massage therapy/manual therapy (collectively, “Services”).

I understand that massage and Somatics services may involve physical contact, movement, stretching, pressure, and other hands-on techniques and that temporary soreness, discomfort, bruising, or other physical responses may occur. I agree to communicate any pain, discomfort, injury, medical condition, medication, or other concern that may affect my participation before or during the Services.

I understand that these Services are not a substitute for medical diagnosis, treatment, or care. I am responsible for consulting my physician or other qualified healthcare provider regarding any medical condition or concern before participating.

To the fullest extent permitted by law, I voluntarily assume the risks associated with participation in the Services and agree to release and hold harmless Carolin Conmy, LMT, from claims, injuries, damages, or expenses arising from my participation, except to the extent caused by the Provider’s gross negligence, willful misconduct, or other conduct that cannot legally be waived.

INDEMNIFICATION: To the fullest extent permitted by law, I agree to indemnify and hold harmless the Provider from claims or demands arising from my participation in or use of the Services or from information I provide being incomplete or inaccurate.

REPRESENTATION: I confirm that I am at least 18 years of age and am voluntarily participating in the Services.

By signing below, I acknowledge that I have read, understood, and voluntarily agree to this waiver.

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