Mountain Somatics Consent Waiver
I, Type Signature Draw SignatureChange FontAccept SignatureClearAccept SignatureClearClick to SignEdit Signature hereby agree that by signing this document, I consent to waive certain legal rights, including the right to sue the following party, and facilities from any physical, material, tangible or intangible loss or damage including any virius that may be present thereafter that may happen to me during my participation in any of the Structual Integration sessions.
Mountain Somatics Structral Integration
Ticia Sheets, CMT Certified Rolf SI Practioner
Po Box 1015
Victor, ID 83455
I am Voluntarily receiving Structural Integration Services from the SI Practioner Ticia Sheets
January 22, 2021