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Red Willow Learning Center

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Online Form – Informed Consent and Waiver

Informed Consent

    Please check all that apply.
  • Classes sponsored by the Red Willow Learning Center, Inc. are modalities believed to be beneficial to health by encouraging relaxation and calming. Neither Red Willow Learning Center, Inc. or its contracted instructors make any claims, promises or guarantees. Red Willow Learning Center, Inc. or its contracted instructors are neither diagnosing or treating any specific health challenges.

    I am solely responsible for seeing to and continuing my own medical treatment and care.

    In consideration of being allowed to participate in Red Willow Learning Center, Inc. classes, I hereby waive, release and forever discharge Red Willow Learning Center, Inc. and its directors, officers, agents, employees and representatives and all others from any and all responsibility or liability from injuries or damages resulting from my participation.

    Before signing, you are encouraged to read this document carefully. If you wish to have it reviewed before you sign it, you are entitled to do so.

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