Highest Source Healing Waivers

Please read through the following and fill out the bottom prior to your appointment.

Let me know if you have any questions. Thank you!

Highest Source Healing LLC Waiver

I, the participant, (“Releasor/Participant”), understand that in participating in consultations, coaching sessions, breathwork sessions, reiki sessions, offered by Highest Source Healing LLC / Jennifer A. Henkle (“Releasees/Facilitators”), I agree to the following on this date and all future times:

SERVICES & DISCLOSURE.

I understand that breathwork and activities offered by Releasees are designed to enhance quality of life and support holistic wellbeing, and are not intended to constitute medical advice or any substitution for medical care. I understand that Activities are not intended to be relied upon for diagnosis or treatment in relation to any health problem, and services of the Facilitator do not replace the care of licensed professionals.

MEDICAL DISCLAIMER & CONTRAINDICATIONS.

I understand that breathwork, reiki and activities may involve strong connected breathing, which can result in dramatic experiences accompanied by strong emotional and physical responses. I understand that I may find the Activities physically, emotionally, or mentally stressful, and that breathwork and activities are not safe under certain medical conditions and not advised for persons with a history of cardiovascular disease or prior heart attack, high blood pressure, use of prescription blood thinners such as Coumadin, epilepsy or seizures, glaucoma, osteoporosis, severe asthma, bipolar disorder, schizophrenia, dissociative disorders, history of significant trauma, and during pregnancy.

I hereby state that I am not pregnant, and if any of the above conditions apply to me, I will advise the Facilitator prior to participation. I understand that the Facilitator is not qualified to evaluate my fitness for involvement in the activities, and that I am fully responsible for seeking medical help to treat all symptoms that are present before and after the activities. I hereby state that I am physically and mentally fit to participate in activities and understand that it is solely my responsibility to seek professional support after activities if I feel unstable mentally or emotionally. I knowingly waive any claim I may have against the Releasees for injury or damages that I may sustain as a result of participating in activities.

RISKS.

I understand and acknowledge that the activities in which I am participating bear certain known inherent risks that contribute to the unique character of these activities, and that Facilitators cannot eliminate, alter, or control these inherent risks. “Risks” include, but are not limited to, known and unknown health conditions, inaccessibility to immediate medical attention, risks inherent in breathwork that include, but are not limited to, over-exertion, psychological distress and disorientation, hyperventilation, respiratory alkalosis, muscle spasms, chest pain, numbness, heart attack, death, and injury or death caused by negligence on the part of Participant or other people around Participant.

I hereby expressly and specifically assume the risk of injury or harm, and agree that my involvement in activities is purely voluntary, and that I elect to participate in spite of the Risks.

CONFIDENTIALITY.

I understand that unless otherwise explicitly stated, activities offered will not be recorded or shared, and no photograph(s), video(s), or audio(s) will be taken for marketing purposes or otherwise. I understand that information shared with the Facilitator is privileged communication and strong ethical standards of confidentiality are maintained. I understand that in voluntarily revealing personal information in group activities, rights of privacy and confidentiality are waived and cannot be guaranteed. I also understand that confidentiality may be waived, without consent, if there is imminent danger to yourself or others, or there is occurrence of child, elder, or dependent adult abuse or neglect. I will refer to the Company’s PRIVACY POLICY for information about how personal data is collected, stored, and used when registering for activities or company’s newsletter.

METHODOLOGY, WARRANTIES, & OUTCOMES.

I agree to be open minded to Facilitator’s methods and partake in activities and services as proposed and instructed. I understand that the Facilitators have made no guarantees as to the outcome of activities, and that information and testimonials presented before, during, or after activities do not constitute a guarantee of specific outcomes.

LIMITATION OF LIABILITY.

By using Highest Source Healing LLC services and purchasing activities, I accept any and all risks, foreseeable or unforeseeable, arising from such transactions. I agree that Facilitators will not be held liable for any damages of any kind resulting from including but not limited to; direct, indirect, incidental, special, negligent, consequential, or exemplary damages happening from participation in activities or use of materials provided. This release agreement applies to all activities facilitated by Highest Source Healing LLC and may be revoked only by a written statement signed by me. 

INDEMNIFY & HOLD HARMLESS.

By clicking “Register,” “Purchase,” “Buy Now,” “Venmo” or any other phrase on the purchase button, entering my credit card information, or otherwise enrolling, electronically, verbally, or otherwise in Activities, I, in my personal name and on behalf of my relatives, heirs, legal representatives, and assigns, agree at all times to release, indemnify and hold harmless Releases, as well as their affiliates, employees, students, joint venture partners, successors, assignees, and licenses, as applicable, from and against any and all claims, causes of action, damages, liabilities, costs, and expenses, including legal fees and expenses, arising out of or related to Activities. I knowingly and freely assume all risks, both known and unknown, even if

arising from the negligence of the Releases or others and assume full responsibility for my participation in Activities.

Highest Source Healing LLC Property Waiver

I, the participant, know that entry on property located at 2579 Franki Street, Orange, CA 92865 (“Subject Property”) is at my own risk. I assume all risks associated with entry, on this date and at all future times, including but not limited to falls, contact with other people, the effects of weather, including high heat and/or humidity, reactions to substances on the Subject Property, including allergic reactions, and the conditions of the paved and unpaved areas of the Subject Property, all such risks being known and appreciated by me. This release agreement applies to all events at which I enter Subject Property and may be revoked only by a written statement signed by me.

Applicable Law: Any legal or equitable claim that may arise from entry onto the Subject Premises shall be resolved under California Law.

Waiver: In consideration of being permitted to enter onto Subject Property, I, for myself, my heirs, personal representatives and assigns, do hereby release, waive, discharge, and covenant not to sue Highest Source Healing LLC, Jennifer A. Henkle, Aaron A. Henkle, and/or any of their employees, agents and volunteers, and release the aforenamed individuals and entities from any and all claims or liabilities including but not limited to personal injury, accidents or illnesses (including death), and property loss due to the negligence of the above named individuals and entities, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, entry to Subject Property.

Indemnification and Hold Harmless: I also agree to indemnify and hold harmless Highest Source Healing LLC, Jennifer A. Henkle, Aaron A. Henkle, and any of their employees, agents and volunteers, from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees, brought as a result of my involvement in visiting the Subject Property and to reimburse them for any such expenses incurred by them from my entry onto the Subject Property.

Dispute Resolution: The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations between the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution Procedure: Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation does not successfully resolve the dispute, then the parties will proceed to Arbitration under applicable law.

Arm’s Length Agreement: This agreement and each of its terms are the product of an arm’s length negotiation between the Parties. In the event any ambiguity is found to exist in the interpretation of this Agreement, or any of its provisions, the Parties, and each of them, explicitly reject the application of any legal or equitable rule of interpretation which would lead to a construction either “for” or “against” a particular party based upon their status as the drafter of a specific term, language, or provision giving rise to such ambiguity. Accordingly, the Parties specifically reject the application of Cal. Civ. Code §1654 to this Agreement, as well as any other statute or common law principles of similar effect.

Severability: The undersigned further expressly agrees that the foregoing waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

IMPORTANT:

THIS DOCUMENT RELIEVES HIGHEST SOURCE HEALING LLC, JENNIFER A. HENKLE, AARON A. HENKLE, AND ALL THE AGENTS, EMPLOYEES, AND VOLUNTEERS OF THE AFOREMENTIONED ENTITIES AND INDIVIDUALS, OF LIABILITY FOR PERSONAL INJURY, WRONGFUL DEATH, AND PROPERTY DAMAGE CAUSED BY NEGLIGENCE. I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I AM GIVING UP SUBSTANTIAL RIGHTS, INCLUDING MY RIGHT TO SUE. I ACKNOWLEDGE THAT I AM SIGNING THE AGREEMENT FREELY AND VOLUNTARILY, AND NOT UNDER DURESS, AND ACKNOWLEDGE THAT I HAVE BEEN GIVEN ADEQUATE TIME TO OBTAIN LEGAL COUNSEL TO REVIEW THIS DOCUMENT BEFORE I SIGN. I INTEND MY SIGNATURE TO EFFECTUATE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

COVID-19 Waiver

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that Highest Source Healing LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Highest Source Healing LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, studio staff, and other studio clients and their families.

I voluntarily seek services provided by Highest Source Healing LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.

I attest that:

* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

* I have not traveled internationally within the last 14 days.

* I have not traveled to a highly impacted area within the United States of America in the last 14 days.

* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.

* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I hereby release and agree to hold Highest Source Healing LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Highest Source Healing LLC. I understand that this release discharges Highest Source Healing LLC from any liability or claim that I, my heirs, or any personal representatives may have against the studio with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Highest Source Healing LLC. This liability waiver and release extends to the salon together with all owners, partners, and employees.

Payment & Appointment Cancellation Policy 

Payment is collected at the time of booking to secure your session. There are no refunds for any services. If you need to reschedule, please do so a minimum of 48 hours prior to your session.

 Please note that all services and packages are non-refundable.