Medical Waiver Form - Wild Grace

MEDICAL WAIVER FORM

I acknowledge that the activities in which I will engage as part of the event provided by Wild Grace has risks.

My participation in the event activities may result in injury or illness.

These risks may be caused by the negligence of the representatives or employees of the Provider.

By my participation in the event, I hereby assume all risks and all responsibility for any loss or damage.

I voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify the Provider and their representatives, employees, and assigns from any and all claims, actions or losses which may arise out of the therapy.

I agree to cooperate fully, to participate in all therapy procedures, and to comply with the plan of care as it is established.

If I have any medical conditions, I have consulted with my physician to make sure that the above is appropriate for me to participate in the event.


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