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Shangri-La Sedona LLC
PO Box 3382
Sedona AZ 86340


928.300.1236
928.282.5903 Fax

 

DISCLAIMER
While all our treatments have been found to aid the healing process, none of the complimentary and alternative modalities offered are meant to replace the diagnosis and/or treatment by a traditional, western medicine, conventional or naturopath doctor. You should consult your regular healthcare practitioner if you have or suspect any medical problems.

 

SHANGRI-LA SEDONA
LIABILITY RELEASE & WAIVER

I understand that this activity and/or session is intended to offer participants significant personal insight and experience.

By filling out the form below and clicking Yes, I, Agree on behalf of myself, and my heirs, distributes, guardians, legal representatives and assigns, do hereby assume the risk and remiss, release, hold harmless, and forever discharge Shangri-La Sedona, LLC, and/or their affiliate organizations, employees or independent contractors, from any actions, claims, suits, damages or judgements from any injury I may sustain while engaged in any activity and/or session, including gratis or on a fee basis, with Shangri-La Sedona, LLC. I understand that hiking on uneven ground and in rocky areas may be involved. I understand and acknowledge that I am freely choosing to participate in a powerful transformational work and therefore by the signing of this waiver, I hereby assume full responsibility for my physical, mental, emotional and spiritual well being.

Disclaimer:  While all our treatments have been found to aid the healing process, none of the complimentary and alternative modalities offered are meant to replace the diagnosis and/or treatment by a traditional, western medicine, conventional or naturopath doctor. You should consult your regular healthcare practitioner if you have or suspect any medical problems.

 

PARTICIPANT'S FULL LEGAL NAME

DATE

I AM OVER THE AGE OF 18 YEARS OLD Yes No

IF NO, FULL NAME OF LEGAL GUARDIAN

BY CLICKING THE BUTTON MARKED 'YES, I AGREE', I AGREE TO THE ABOVE-STATED DISCLAIMER

       

 

 

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  COPYRIGHT © 2005 SHANGRI-LA SEDONA, LLC.  ALL RIGHTS RESERVED.
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