CONSENT WAIVER AGREEMENT FOR SERVICES
This Consent Waiver Agreement (the “Agreement”) is made and entered into as of today, by and between David Lee Williamson (“Provider”), and the undersigned
client ("Client").
WHEREAS, Provider offers life coaching and energy healing services; and
WHEREAS, Client desires to receive such services from Provider; and
WHEREAS, Provider is willing to provide such services only upon Client's understanding and
acceptance of the terms and conditions set forth in this Agreement; and
WHEREAS, in the event that Client is a minor (under the age of 18), a parent or legal guardian ("Guardian") must execute this Agreement on Client's behalf and accepts all terms herein on behalf of themselves and the minor Client.
NOW, THEREFORE, in consideration of the mutual covenants contained herein, and for other
good and valuable consideration, the receipt and sufficiency of which are hereby
acknowledged, the parties agree as follows:
- Services. Provider agrees to provide life coaching and/or energy healing services to Client,
as agreed upon between the parties. Client understands that these services are for the purpose
of holistic wellness and are not intended as a substitute for medical or psychological care.
- Nature of Services. Client understands that the energy healing session involves a method of
energy balancing. Client understands that Provider may or may not apply light touch if in-
person work is provided.
- No Medical Advice. Client acknowledges that Provider does not diagnose conditions,
prescribe medicines, or interfere with the treatment of a licensed medical professional. Client is
advised to seek a licensed health care professional for any physical or psychological ailment.
- Confidentiality. All sessions provided by David Lee Williamson will be recorded as a Zoom
meeting or any other recording format for the protection of both parties. As a client, Client
understands and agrees that Zoom meeting recordings will be made available to the public as
teaching and or healing tools for others to access. Client understands that they may choose to
use an alias and keep their camera off during the session if they wish anonymity.
- Client Responsibility. As a client, Client understands and agrees that Client is fully
responsible for Client's wellbeing during coaching sessions, including Client's decisions and
choices. Client may discontinue coaching sessions with Provider at any time. Client
understands that coaching is not psychotherapy, counseling, or any medical alternative and
will not use it in place of any form of therapy or medical advice. Client agrees that Client is
well-adjusted, mentally healthy, and ready for coaching. It is Client's responsibility to consult
Client's health care provider prior to participating in coaching with Provider. Should Client
choose not to consult Client's primary health care provider, Client accepts full responsibility
and waives all rights to liability or any claims against Provider or any affiliated administrators, or
employees.
- Release and Indemnification. Client agrees to release, indemnify, defend, and hold harmless
Provider, its owners, employees, agents, and contractors from and against any and all claims,
damages, losses, liabilities, costs, and expenses (including reasonable attorneys' fees) arising
out of or relating to the service(s) provided by Provider; Client's own acts or omissions;
Provider's employees, agents, or contractors; and any third-party claims arising from or in
connection with the service(s). This obligation to indemnify applies regardless of whether such
claims are caused in part by the negligence of Provider, except where prohibited by law.
- Perpetual Agreement. This agreement is intended to be perpetual and will remain in effect for
all future services provided by Provider to Client unless otherwise terminated in writing by
either party.
- Governing Law and Venue. This Agreement shall be governed by and construed in
accordance with the laws of the State of Texas. The parties agree that any disputes under this
Agreement shall be resolved in the courts located within Texas.
- Entire Agreement. This Agreement constitutes the entire understanding between the parties
regarding the subject matter hereof and supersedes all prior oral or written agreements.
- Cancellation Policy. Client understands that Client is responsible for the fees if Client
cancels less than 24 hours before a scheduled session. Missed sessions will not be made up.
- Voluntary Participation. Client is choosing to participate in coaching services with Provider.
Any suggested Yoga Poses, Meditation, or Reading Material is just a suggestion. It is Client's
choice to perform or read any suggested material, and Client does them at Client's own risk.
- Attorney Fees.
Client agrees that Client would be responsible for attorney fees for all parties if a lawsuit is
filed.
Recording and Media Consent for Energy Healing and Coaching Sessions
Organization: David Lee Williamson
Purpose: This consent form explains how your personal data will be collected, used, and protected during your energy healing and coaching sessions with David Lee Williamson. Please read it carefully and indicate your agreement at the end.
1. Recordings Collected: Audio and video recordings of your energy healing and coaching sessions will be made.
2. Purpose of Recording: The purpose of collecting and using session recordings is:
- To provide you with energy healing and coaching services.
- To create teaching and healing opportunities for others by publishing the recordings of your sessions.
3. Recording Activities: Your session recordings will be used for the following activities:
- Recording audio and video of your sessions.
- Storing the recordings securely.
- Publishing the recordings on platforms accessible to others for teaching and healing purposes.
4. Recording Recipients: Your session recordings may be shared with:
- Individuals who access the published recordings for teaching and healing purposes.
- Platform providers where the recordings are hosted (e.g., video hosting services).
5. Retention: Your session recordings will be retained indefinitely for teaching and healing purposes.
6. Rights and Obligations: David Lee Williamson retains all rights to the content of each session. By signing this consent form, you acknowledge and agree to this condition.
7. Contact Information: If you have any questions or concerns about this consent form or the use of session recordings, please contact: David Lee Williamson.
Guardian Authorization.
By signing this Agreement, Guardian:
- (a) Voluntarily consents to and authorizes Provider to render life coaching and/or energy healing services to the minor Client named below;
- (b) Acknowledges that they have read, understood, and agree to all terms and conditions of this Agreement on behalf of themselves and the minor Client;
- (c) Agrees that all representations, acknowledgments, releases, and indemnifications made by "Client" throughout this Agreement apply equally to the minor Client and to Guardian personally;
- (d) Agrees to indemnify, defend, and hold harmless Provider from and against any and all claims brought by or on behalf of the minor Client arising out of or related to the services provided under this Agreement.
Consent:
I have read and understood this consent form, and I freely and explicitly consent to the collection, processing, and publication of my audio and video recordings as described above.
If the Client is a minor, Guardian expressly consents on the minor's behalf to the recording, storage, and publication of the minor's audio and video sessions as described in this consent form. Guardian acknowledges that the minor may use an alias and keep their camera off if anonymity is preferred.