Waivers & Disclosures

Below you will find my online waiver. By continuing with any of my videos (yoga, meditation, etc.) you are agreeing to the terms and conditions listed below.

INFORMED CONSENT, ASSUMPTION OF RISK, MEDICAL DISCLAIMER, RELEASE OF LIABILITY, AND WAIVER AGREEMENT

By signing below, I acknowledge that I have carefully read, understood, and voluntarily agree to the terms of this Informed Consent, Assumption of Risk, Release of Liability, and Waiver Agreement.

This Agreement applies to all services, programs, events, classes, workshops, products, consultations, and experiences offered by A Mindful Bliss Studio, LLC, Kalynn Frechette, employees, contractors, volunteers, assistants, affiliates, landlords, property owners, business partners, and any facility or location where services are provided.

These locations may include, but are not limited to:

• A Mindful Bliss Studio
• Sanctuary in the Woods
• 13905 Double Girth Court, Matthews, NC
• McCloud Acosta Clinical Services, Mint Hill, NC
• Any rented, leased, shared, public, private, commercial, residential, retreat, event, workshop, or off-site location used by A Mindful Bliss Studio

For purposes of this Agreement, all such individuals and entities shall collectively be referred to as the "Released Parties."

ACKNOWLEDGMENT OF NON-MEDICAL SERVICES

I understand that all services offered by A Mindful Bliss Studio are educational, spiritual, wellness, and complementary in nature.

Services may include but are not limited to:

• Reiki
• Sound Healing
• Crystal Singing Bowls
• Tuning Fork Therapy
• Kundalini Activation
• Trauma-Informed Kundalini Activation
• Meditation
• Breathwork
• Yoga
• Yoga Nidra
• Energy Healing
• Naturopathic Wellness Education
• Herbal Wellness Education
• Workshops
• Classes
• Retreats
• Group Healing Sessions
• Mentorship Programs
• Wellness Products
• Herbal Products
• Any future services offered

I understand that Kalynn Frechette is not acting as my physician, psychologist, psychiatrist, licensed mental health therapist, medical provider, or emergency healthcare provider.

I understand that these services are not intended to diagnose, treat, cure, prevent, or prescribe for any disease, illness, injury, mental health condition, or medical condition.

I understand that no guarantees, promises, or representations regarding outcomes have been made.

MEDICAL CLEARANCE REQUIREMENT

I certify that I have consulted with my physician, primary care provider, and/or appropriate licensed healthcare provider regarding my participation in these services.

I acknowledge that I have received medical clearance where appropriate.

I understand that it is solely my responsibility to determine whether participation is appropriate for me.

I agree to disclose any relevant medical, psychiatric, emotional, physical, or neurological conditions before participating.

PREGNANCY RESTRICTION

I certify that I am NOT pregnant.

I understand that certain services offered by A Mindful Bliss Studio, including but not limited to Kundalini Activation, Breathwork, Energy Healing, Sound Healing, Tuning Fork Therapy, and other modalities, are not intended for pregnant individuals.

If I become pregnant at any time during participation, I agree to immediately notify A Mindful Bliss Studio and discontinue participation until cleared by my physician.

HEART CONDITIONS AND MEDICAL CONDITIONS

I understand that participation is not recommended without physician approval if I have or have had:

• Heart disease
• Pacemaker or implanted cardiac device
• High blood pressure
• Epilepsy or seizure disorders
• Stroke
• Neurological disorders
• Severe psychiatric conditions
• Respiratory disorders
• Cardiovascular disease
• History of psychosis
• Bipolar disorder
• Schizophrenia
• Serious medical conditions
• Any condition that may be affected by physical, emotional, energetic, meditative, or breath-based practices

I certify that I have obtained appropriate medical clearance if any of the above conditions apply.

DISCLOSURE OF MEDICATIONS

I agree that I have fully disclosed all medications, supplements, implanted medical devices, medical diagnoses, physical limitations, mental health conditions, and any other information that may affect my participation.

I understand that failure to disclose relevant information may increase my risk of injury and releases the Released Parties from responsibility related to undisclosed conditions.

KUNDALINI ACTIVATION ACKNOWLEDGMENT

I understand that Kundalini Activation is an experiential energetic modality.

Experiences may vary significantly and may include physical sensations, emotional responses, spontaneous movement, altered states of awareness, memories, insights, emotional release, fatigue, heightened sensitivity, increased energy, changes in perception, or other experiences.

I understand that participation may result in intense emotional, psychological, energetic, or physical experiences.

I understand that these experiences are unpredictable and may continue after the session.

I voluntarily assume all risks associated with participation.

I acknowledge that Kundalini Activation is not a substitute for medical, psychiatric, or psychological care.

ASSUMPTION OF RISK

I voluntarily participate in all activities offered by A Mindful Bliss Studio.

I acknowledge that participation carries inherent risks including but not limited to:

• Physical injury
• Emotional distress
• Psychological discomfort
• Aggravation of existing conditions
• Dizziness
• Falls
• Fatigue
• Anxiety
• Emotional release
• Changes in mood
• Unexpected physical reactions
• Spiritual or energetic experiences

I knowingly and voluntarily assume all risks, whether known or unknown.

HERBAL PRODUCTS DISCLAIMER

I understand that all herbal products, teas, tinctures, oils, remedies, and wellness products purchased through A Mindful Bliss Studio or www.amindfulbliss.com are used entirely at my own risk.

I acknowledge that herbal products may interact with medications, supplements, medical conditions, allergies, pregnancy, breastfeeding, or other health concerns.

I agree to consult my physician, pharmacist, or qualified healthcare provider before using any herbal product.

I understand that statements regarding herbal products have not been evaluated by the United States Food and Drug Administration.

These products are not intended to diagnose, treat, cure, or prevent any disease.

RELEASE OF LIABILITY

To the fullest extent permitted by law, I voluntarily release, waive, discharge, covenant not to sue, and forever hold harmless:

A Mindful Bliss Studio, LLC;
Kalynn Frechette;
employees;
contractors;
assistants;
volunteers;
landlords;
property owners;
facility owners;
business partners;
event hosts;
McCloud Acosta Clinical Services;
any location where services are conducted;
and all affiliated parties

from any and all claims, liabilities, demands, causes of action, damages, injuries, losses, costs, expenses, attorney fees, or lawsuits arising out of or related to:

• Participation in services
• Use of facilities
• Travel to and from services
• Kundalini Activation
• Reiki
• Sound Healing
• Breathwork
• Yoga
• Tuning Fork Therapy
• Herbal Products
• Wellness Recommendations
• Workshops
• Retreats
• Classes
• Future offerings

including claims arising from negligence to the fullest extent permitted by law.

INDEMNIFICATION

I agree to indemnify, defend, and hold harmless the Released Parties from any claims, actions, damages, liabilities, costs, expenses, or attorney fees resulting from my participation, actions, omissions, or breach of this Agreement.

EMERGENCY MEDICAL CARE

In the event of an emergency, I authorize A Mindful Bliss Studio to seek emergency medical care on my behalf.

I accept full financial responsibility for any resulting medical treatment.

MEDIA RELEASE (OPTIONAL)

☐ I authorize A Mindful Bliss Studio to photograph, record, or use my image for educational or promotional purposes.

☐ I do not authorize the use of my image.

GOVERNING LAW

This Agreement shall be governed by and interpreted under the laws of the State of North Carolina.

If any provision is found unenforceable, the remaining provisions shall remain in full force and effect.

ACKNOWLEDGMENT

By signing below, I acknowledge that:

• I have read this entire document.
• I fully understand its contents.
• I understand I am giving up certain legal rights.
• I voluntarily agree to all terms.
• I participate entirely at my own risk.
• I have had the opportunity to ask questions before signing.

Participant Name: ______________________________

Signature: ____________________________________

Date: _________________________________________

Emergency Contact: _____________________________

Emergency Phone: ______________________________