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Well with Kala

General Client Liability Waiver Agreement

Somatic Wellness Coaching 

Location: Virtual (Zoom, FaceTime), In-Person (when/where possible, subject to availability)

Offering(s): Somatic Wellness Coaching (Individual/private, couples, family/group), Workshops, Events, Retreats 

Host: Michaela (Kala) MacDonald, "Well with Kala," "Yoga with Kala,” Kāla Yoga LLC

 

I, the undersigned, (Participant) hereby understand and agree to the following:

A.) NATURE AND SCOPE OF COACHING - Somatic wellness coaching is a nonlicensed service, and is not psychotherapy, mental health counseling, diagnosis, assessment, treatment, crisis care, or medical care. Participation does not create a therapist-client, counselor-client, physician-patient, or other healthcare-provider relationship. The Host is not providing services through this agreement under a mental health license, limited permit, associate registration, internship, or clinical supervision arrangement. Any counseling education, clinical training, internship role, or professional credential identified in the Host’s biography or elsewhere is provided for background information only and does not convert coaching services into psychotherapy or clinical counseling. 

 

B.) VOLUNTARY PARTICIPATION AND ASSUMPTION OF RISK - I understand that my participation in the Offering and in every activity suggested during the Offering is voluntary. I may decline, pause, modify, or discontinue participation in the Offering at any time.

I recognize that there are risks of injury, discomfort, distress, damage, or harm inherent in participating in the Offering and that it is not possible to identify every possible risk. I knowingly and voluntarily accept the ordinary and reasonably foreseeable risks associated with my participation, including risks associated with movement, yoga, breath practices, emotional reflection, and participation through electronic platforms.

I knowingly and voluntarily assume the ordinary and inherent risks associated with participating in the Offering. To the fullest extent permitted by applicable law, I release, waive, and hold harmless the Host, and their respective employees, contractors, representatives, co-hosts, agents, successors, and assigns from claims arising from those ordinary and inherent risks.

C.) SLIDING SCALE/RATES - The sliding scale is intended to support access to Somatic Wellness Coaching for Participants with differing financial circumstances. Each Participant may select a rate within the advertised range of $35–$200 per session. Sliding Scale Access Codes are listed in the scheduler webpage. The suggested rate is $130 per session. All sessions are approximately 50 minutes.

 

D.) CANCELLATION/NO-SHOW/TARDINESS POLICY- Bookings must be made using the provided online scheduler via the Host's website, and can be made up to 60days in advance at a time. All purchases and payments for coaching sessions, packages, recurring sessions, workshops, events, retreats, i.e. any Offering(s) are final and nonrefundable, except when otherwise expressly stated in writing by the Host. Participants are responsible for booking Offering(s) with care.

For Somatic Wellness Coaching only, a Participant may reschedule an individual appointment by providing more than 48 hours’ written notice, received by the Host and subject to the Host’s availability. The 48-hour rescheduling option does not create a right to receive a refund, prorated refund, transfer, or credit for a coaching package, recurring arrangement, or other prepaid Offering.

A coaching session cancelled or rescheduled 48 hours or less before its scheduled start time will be forfeited and will not be refunded, credited, or rescheduled. A session not attended as scheduled will be considered a no-show and will also not be refunded, credited, or rescheduled.

The grace period is 10 minutes after the scheduled start time. A Participant who has not arrived or contacted the Host within that period will be considered a no-show. Late arrival will not extend the scheduled ending time. This, to respect my time, yours, and that of other clients/participants. Thank you in advance for your understanding. 

A Participant may discontinue coaching at any time; however, discontinuing services does not entitle the Participant to a refund, prorated refund, transfer, or credit for sessions, packages, recurring reservations, or other Offerings already purchased. Any exception is granted solely at the Host’s discretion. 


Additional Terms:

1.) RISK OF INJURY - That I am participating in the Offering during which I will receive information and instruction regarding, but not limited to, yoga, breath work, somatic coaching, wellness coaching, guided movement, and more. Somatic practice and coaching generally may require physical exertion that may cause physical injury, including serious injury, disability, and even death, and I am fully aware of the risks and hazards involved. In further consideration of the Offering, I knowingly, voluntarily and expressly waive any claim I may have against the Host for any injuries or damages, known or unknown, including serious injury, disability, and even death, that I might incur as a result of participating in the Offering. I knowingly and voluntarily accept the physical and emotional risks associated with these activities and agree to participate only within my own abilities and limitations. I understand that no instruction, modification, supervision, or assistance can eliminate every risk of injury or harm.

2.) MEDICAL CONDITIONS - I understand that the Host does not diagnose medical conditions or independently determine whether I am medically or psychologically fit to participate.

I am responsible for determining, in consultation with a qualified healthcare professional when appropriate, whether I can safely participate in the Offering. I agree to disclose to the Host any relevant physical limitations, injuries, health conditions, medications, or other circumstances that may affect my safe participation.

I understand that disclosure to the Host does not make the Host responsible for evaluating, treating, or managing a medical or mental health condition. I agree to participate only to the extent that I can do so safely, to remain attentive to my physical and emotional responses, and to stop or modify any practice that causes pain, dizziness, shortness of breath, panic, dissociation, significant emotional distress, or other concerning symptoms.

3.) PREGNANCY - If I am pregnant, recently postpartum, trying to become pregnant, or experiencing a pregnancy-related health concern, I agree to consult an appropriately qualified healthcare professional when necessary and to follow any restrictions or recommendations provided to me.

I will inform the Host of relevant limitations before participating in movement or breath practices. I understand that the Host is not providing prenatal, postpartum, medical, or obstetric care.

4.) RESPONSIBILITY AND RELEASE - I assume responsibility for deciding whether and how to participate in the Offering. I understand that instructions are invitations rather than requirements and that I remain responsible for my own choices, movements, physical environment, and use of any equipment.

To the fullest extent permitted by applicable law, I release and hold harmless the Host, and their respective employees, contractors, representatives, agents, and successors from claims arising from the ordinary and inherent risks of my voluntary participation in the Offering.

This provision is not intended to release any person or entity from liability that cannot lawfully be waived, including liability for gross negligence, reckless conduct, intentional misconduct, fraud, or violations of applicable law.

5.) MEDICAL & OTHER EXPENSES - If the Host reasonably believes emergency assistance may be necessary, the Host may contact emergency services or the Participant’s identified emergency contact. This does not authorize the Host to consent to medical treatment on the Participant’s behalf.

The Participant is responsible for all expenses associated with medical treatment, emergency transportation, travel, technology, accommodations, or other services used before, during, or after the Offering.

6.) PAYMENTS - The applicable Rate is due in full through the booking platform provided on the Host’s website before a session may be booked or participation may begin. All payments must be made in U.S. dollars (USD) via the Host's booking platform.

Refunds, cancellations, no-shows, late arrivals, and rescheduling are governed by Section D. Packages or prepaid sessions, if offered, are subject to the additional written terms and expiration dates disclosed at the time of purchase..

Payment for Somatic Wellness Coaching is not submitted to health insurance, and the Host does not provide clinical diagnoses, treatment documentation, superbills, or insurance reimbursement documentation through this Offering.


7.) RECORDING, PHOTOGRAPHY, MEDIA & DE-IDENTIFIED CONTENT - Private individual, couples, family, and group coaching sessions may not be audio-recorded, video-recorded, photographed, screenshotted, transcribed, livestreamed, or otherwise captured by either the Host or any Participant without the prior written consent of every person participating.

For retreats, workshops, classes, events, and other nonprivate Offerings, the Participant authorizes the Host to photograph, audio-record, and video-record the Offering and to use the Participant’s image, likeness, voice, and appearance in print or digital materials, including the Host’s websites, social-media accounts, advertisements, educational materials, and promotional content, without compensation. A Participant who does not wish to appear in identifiable event content must notify the Host in writing before the Offering and reasonably cooperate with designated no-recording areas or other accommodations.

The Host may also use, discuss, adapt, or publish de-identified or composite themes, experiences, questions, feedback, or storylines arising from any Offering for educational, editorial, social-media, or promotional purposes. All identifying details will be removed or materially altered so that no Participant is reasonably identifiable.

Participants may not record, copy, screenshot, reproduce, publish, distribute, post, sell, or otherwise use any portion of an Offering; another Participant’s identity, statements, image, or likeness; or the Host’s image, voice, materials, or content without the Host’s prior written permission and, when applicable, the permission of every identifiable person included.

8.) PRIVACY, CONFIDENTIALITY - The Host will make reasonable efforts to keep information shared during private coaching confidential and will not knowingly disclose it except with the Participant’s authorization, as reasonably necessary for business administration, when required by law or legal process, in response to a serious safety concern, or as necessary to obtain legal advice or respond to a claim.

I understand that communications are not protected by counselor/psychotherapist-patient privilege, physician-patient privilege, HIPAA, or other laws applicable specifically to licensed healthcare relationships.

Electronic communications and virtual platforms carry inherent privacy and security risks. The Host cannot guarantee the absolute security of Zoom, FaceTime, email, text messaging, payment platforms, web platforms, internet connections, devices, or other third-party services.

The Participant may not audio-record, video-record, photograph, screenshot, transcribe, or otherwise capture a private session without the prior written consent of everyone participating, including the Host.

When more than one Participant attends a session, each adult Participant must separately agree to the applicable terms of participation by completing a waiver form in full.

The Host cannot guarantee that all Participants in a group session will maintain confidentiality. Each Participant accepts the privacy risks inherent in couples, family, or group participation.

The Host does not serve as a confidential intermediary between members of a couple or family and may decline to keep information secret from another person participating in the same coaching relationship.

The Host does not provide custody evaluations, forensic opinions, or determinations regarding the truth or legal significance of any dispute. Participation in couples or family coaching does not guarantee reconciliation or any particular relationship outcome.

9.) VIRTUAL PARTICIPATION - For any virtual session, I agree to participate from a reasonably private, physically safe location and to disclose my current physical location to the Host upon request. I will not participate while driving, operating machinery, or engaging in another activity that makes participation unsafe. The Host may terminate any session determined to be unsafe, in which case no refund or reschedule will be extended. 

I am responsible for the privacy of my physical location, the security of my device and internet connection, and ensuring that I have sufficient space for any movement I choose to perform.

If the electronic connection fails, the Host and Participant may attempt to reconnect, or to continue by telephone when mutually appropriate. Availability of virtual coaching may be limited based on applicable law, safety considerations, or the Participant’s physical location.

10.) REFERRALS, SCOPE, AND TERMINATION - I understand that coaching may not be appropriate for every need. The Host may recommend that I seek additional and/or alternate support from a licensed mental health professional, physician, registered dietitian, physical therapist, substance-use professional, emergency provider, or other qualified practitioner.

The Host may decline, pause, or terminate coaching when the Host reasonably believes that my needs exceed the scope of coaching, that continued participation may be unsafe or inappropriate, that a conflict of interest exists, that payment obligations have not been met, or that the coaching relationship is no longer productive.

A recommendation or referral does not create responsibility for the services, availability, decisions, or conduct of another provider.

11.) IN THE EVENT OF AN EMERGENCY - Somatic Wellness Coaching is not an emergency service, crisis-response, or on-call service. The Host does not provide continuous monitoring or guarantee availability between scheduled sessions.

If I am experiencing an emergency, immediate danger, suicidal or homicidal intent, severe psychiatric symptoms, a medical emergency, or another acute crisis, I will contact the emergency services or crisis resources available in my physical location rather than relying on the Host or the coaching relationship.

During virtual sessions, I agree to provide my current physical location and emergency-contact information when reasonably requested for safety purposes.

12.) INTELLECTUAL PROPERTY - Worksheets, recordings provided by the Host, written materials, exercises, videos, and other original content furnished through the Offering remain the intellectual property of the Host or their respective owner.

Materials are provided for the Participant’s personal, noncommercial use and may not be reproduced, distributed, taught, sold, published, uploaded, or used to create derivative commercial materials without prior written permission.

13.) INDEMNIFICATION - To the extent permitted by applicable law, the Participant agrees to indemnify and hold harmless the Host, Kāla Yoga LLC, and their respective employees, contractors, representatives, co-hosts, and agents from third-party claims, damages, losses, liabilities, and reasonable legal expenses arising directly from the Participant’s unlawful conduct, intentional misconduct, unauthorized recording or distribution of session content, infringement of intellectual-property or privacy rights, or material breach of this Agreement.

This provision does not require the Participant to indemnify any person or entity for that person’s or entity’s own negligence, gross negligence, reckless conduct, intentional misconduct, fraud, or other liability that cannot lawfully be transferred or waived.

14.) SEVERABILITY - If any provision of this Agreement is found to be invalid, unlawful, or unenforceable, that provision will be enforced to the maximum extent permitted by law or, when necessary, severed from the Agreement. The remaining provisions will continue in full force and effect. This waiver in its entirety is intended to be as broad and inclusive as permitted by law.

15.) SOCIAL MEDIA, PUBLIC INTERACTIONS & DUAL RELATIONSHIPS - The coaching relationship between the Host and the Participant is professional and does not create a personal, social, or other relationship beyond the scope of coaching. The Host does not accept or initiate personal social-media connections with Participants and is not obligated to communicate or engage outside of scheduled sessions or designated coaching channels.

If the Host and Participant encounter one another in public, the Host will not initiate contact in order to protect the Participant’s privacy, but may respond briefly if the Participant initiates.

16.) ENTIRE AGREEMENT AND ELECTRONIC SIGNATURES - This document and any written booking, payment, or program terms expressly incorporated into it constitute the entire agreement between the Participant and the Host concerning the Offering.

Any amendment must be made in writing. Electronic signatures, checked boxes, typed names, and typed initials are intended to have the same effect as handwritten signatures to the extent permitted by law.

17.) PARTICIPANT AGE AND AUTHORITY - I represent that I am at least 18 years old and legally able to enter into this Agreement.

A minor may participate only as part of an approved family or group session and with the written consent of a parent or legal guardian authorized to consent to the minor’s participation. The signing adult accepts responsibility for providing accurate information concerning their authority and for supervising the minor as reasonably required. The Host may request documentation of guardianship or decision-making authority and may decline a minor’s participation when authority or consent is unclear. 

18.) GOVERNING LAW AND VENUE - This Agreement will be governed by the laws of the State of California without regard to conflict-of-law principles, except where another jurisdiction’s mandatory law applies.

To the fullest extent permitted by applicable law, any dispute arising from or relating to this Agreement or the Offering will be brought exclusively in the state or federal courts located in Los Angeles County, Los Angeles, California, and the parties consent to the jurisdiction and venue of those courts.

19.) NO GUARANTEES AND PARTICIPANT DECISIONS - The Host does not guarantee any physical, mental, emotional, relational, spiritual, professional, financial, medical, or other outcome from participation in the Offering.

The Participant remains solely responsible for their decisions, actions, relationships, health choices, financial choices, and use or interpretation of information provided through the Offering. The Participant agrees not to disregard or delay qualified medical, psychological, legal, financial, nutritional, or other professional advice based solely on information provided through the Offering.

The Participant acknowledges that they are not relying on any promise, statement, representation, testimonial, or guarantee of results other than the express terms contained in this Agreement.



I have read and fully understand the terms of this waiver.

I am signing this Agreement knowingly, voluntarily, and of sound mind.

I understand that my signature reflects my agreement to the terms above, including the assumption of ordinary and inherent risks, to the greatest extent permitted by law.

I have read and fully understand the above items A-D and 0-19 and agree to all of the above terms of this Liability Waiver and Release. I am signing this agreement voluntarily and of sound mind. I recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law. 


 

Today's Date: September 2, 2026 


First Participant's Name
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Address
Address Line 1:*
Street address, P.O. box, company name, c/o
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Apartment, suite, unit, building, floor, etc.
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Parent or Guardian's Email Address
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Emergency Contact
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Additional Info:
Please feel free to share any additional, relevant information that you'd like Michaela to know, i.e. current medical diagnoses, reason(s) for seeking coaching, primary questions you want covered in the initial session(s), etc.
Parent or Guardian's Driver's License / ID Card
Driver's License / ID Card Number*
Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
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Parent or Guardian's Date of Birth*
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Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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