C.B.T Life Coaching Waiver Form | Blissful Heroes Community

Do you prefer your session to be in person or online?

In Person

Online

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address ( In Person Session Only )

Have you heard of cognitive behavioral therapy and any activities and practices relating to it?

Yes

No

Feel free to pick a prefered time that you want to pick for this session

Month

Day

Year

Time

HoursMinutes

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, and the owner from any liabilities.

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Payment

$88