Beautiful Mind

Hypnosis Waiver

Please read and fill out this waiver form and submit to the practitioner before your first session. 

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Beautiful Mind Hypnosis Waiver

I  confirm I am 19 years of age or older and I understand this is an important legal document related to my participation with Beautiful Mind Hypnosis and Hypnotherapy. I agree to assume full responsibility for any risk, injury, or damages knowing or unknowing which I might incur as a result of participating with Beautiful Mind Hypnosis and Hypnotherapy. 

I knowingly and voluntarily waive all rights to any/all claims that I may have against Beautiful Mind Hypnosis and Hypnotherapy and the practitioners and owners. I unconditionally release and forever discharge any persons, owners or their employees, agents, successors, subsidiary entities or representatives members or affiliates in any way to Beautiful Mind Hypnosis and

Hypnotherapy from any and all actions, liabilities, damages, losses, costs, expenses, claims or demands including without limitation those based on negligence, gross negligence and breach of contract or breach of any statutory duty of care owed under applicable laws.


I have carefully read this document and I understand its contents. I am aware that this document is a release of all liabilities and is a legally enforceable contract.


I have signed this document of my own free will.