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Disclaimer, Agreement and Waiver of Liability
I, ___________________________________________________________ , hereby agree to the following:
1. DISCLAIMER: That the information I receive is for educational purposes only and should not be considered medical advice. That this information is provided to help me make informed decisions about my health; it is not meant to replace the advice of my primary care physician. That choosing a holistic approach through Nutrition Therapy means choosing personal responsibility for my health care. I understand that Sara Peternell is not liable or responsible for any harm, damage or illness arising from the use of the information contained herein.
2. That I am participating in a Nutrition Therapy Program and/or Workshop, offered by Sara Peternell in Colorado, during which I will receive information and instruction about nutrition.
3. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Nutritional Therapy Program and/or Workshop.
4. In consideration of being permitted to participate in the Nutritional Therapy Program and/or Workshop, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.
5. In further consideration of being permitted to participate in the Nutritional Therapy Program and/or Workshop, I knowingly, voluntarily and expressly waive any claim I may have against Sara Peternell for any injury or damages that I may sustain as a result of participating in the program.
6. I, my heirs or legal representatives, forever release, waive, discharge and covenant negligence or other acts.
7. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
8. I understand that payment is due in full at time of consultation.