Wellness Experience Participation

I voluntarily choose to participate in one or more wellness services offered by Port Washington Yoga, including but not limited to:

·      Virtual Reality (Meta Quest 3) Experiences

·      Massage Chair Sessions

·      Red Light Therapy

·      Aromatherapy

·      Sound Therapy / Sound Healing

·      Guided Meditation

·      Assisted Stretching

·      Relaxation Rituals

·      Other wellness and relaxation experiences offered by the studio

I understand these services are intended to support relaxation, stress reduction, mindfulness, and general wellness. These services are not intended to diagnose, treat, cure, or prevent any disease or medical condition.

Health Acknowledgment

I affirm that I am physically capable of participating and understand that certain conditions may make participation inadvisable.

I agree to notify staff before participating if I have any medical condition that may affect my ability to safely participate, including but not limited to:

·      Pregnancy

·      Heart conditions

·      Pacemaker or implanted medical devices

·      Epilepsy or seizure disorders

·      Light sensitivity

·      Motion sickness or vertigo

·      Recent surgery

·      Significant musculoskeletal injuries

·      Severe anxiety, panic disorders, or claustrophobia

·      Any condition that may be aggravated by light, sound, vibration, pressure, movement, or immersive visual experiences

I understand that it is my responsibility to consult with my healthcare provider regarding participation if I have concerns.

Understanding of Potential Risks

I understand that participation may involve risks including, but not limited to:

Virtual Reality Experiences

·      Motion sickness

·      Dizziness

·      Disorientation

·      Nausea

·      Eye strain

·      Headaches

·      Loss of balance

Massage Chair Sessions

·      Temporary soreness

·      Muscle tenderness

·      Bruising

·      Increased discomfort in pre-existing conditions

·      Dizziness or lightheadedness

Red Light Therapy

·      Temporary redness

·      Warmth

·      Eye sensitivity

·      Headache

·      Mild skin irritation

Aromatherapy & Sound Therapy

·      Allergic reactions

·      Sensitivity to scents

·      Emotional responses

·      Temporary discomfort from sound frequencies

Although serious injury is uncommon, I understand that unforeseen risks may exist.

Assumption of Risk

I voluntarily assume full responsibility for any risks, injuries, discomfort, illness, or damages that may occur as a result of participating in these activities.

I understand that I may stop any service at any time if I experience discomfort or wish to discontinue participation.

Participant Responsibilities

I agree to:

·      Follow all instructions provided by staff.

·      Immediately notify staff if I experience discomfort.

·      Stop participation if I feel dizzy, nauseated, faint, or otherwise unwell.

·      Use all equipment only as instructed.

·      Conduct myself in a safe and respectful manner.

No Medical Advice

I understand that Port Washington Yoga and its staff do not provide medical advice, diagnosis, physical therapy, chiropractic care, psychological counseling, or healthcare services through these wellness experiences unless otherwise specifically licensed and disclosed.

No guarantees have been made regarding specific outcomes or benefits.

Release of Liability

In consideration of being allowed to participate in wellness experiences at Port Washington Yoga, I hereby release, waive, discharge, and hold harmless Port Washington Yoga LLC, its owners, employees, instructors, contractors, volunteers, agents, and affiliates from any and all claims, demands, liabilities, damages, costs, expenses, actions, or causes of action arising from or related to my participation, including personal injury, illness, property damage, or loss, except where prohibited by law or caused by gross negligence or willful misconduct.

Personal Property

I understand that I am responsible for my personal belongings and that Port Washington Yoga is not responsible for lost, stolen, or damaged items.

Consent & Acknowledgment

I certify that:

·      I have read and understand this waiver.

·      I understand the nature of the activities offered.

·      I voluntarily agree to participate.

·      I understand that I may discontinue participation at any time.

Client Signature

I certify that I have read and understand this waiver and voluntarily agree to its terms.