top of page
HOME
ABOUT
WORK WITH ME
MUSIC
CONTACT
BLOG
More
Use tab to navigate through the menu items.
Informed Consent and Liability Waiver
Please fill out the following consent form in order to participate in our healing session. Submissions are valid up to 24 hours prior to the activity.
First Name
Last Name
Email
I have read the liability waiver and informed consent to treat documents provided by Jenee Halstead.
View terms and conditions
I understand the liablity waiver and release form and agree to the terms and conditions provided by this form.
No
Yes
Date
Initials
I confirm that the information given in this form is true
Submit
Thanks for submitting!
bottom of page
