Mindfulness Life Coaching Waiver Form | Blissful Heroes Community

Do you prefer to have your life coaching session in person or online?

In Person

Online

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Address ( For In Person Sessions Only )

Are you familiar with the definition & practice of mindfulness?

Yes

No

Are you open to participating in creative & fun activities that can help you be more aware of your own thoughts?

Yes

No

Feel free to choose your preferred time that you're available for your session.

Month

Day

Year

Time

HoursMinutes

What's your preferred method of communication?

Call

Email

Text

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