The Fine Print

Waiver and Release of Liability

WAIVER AND RELEASE OF LIABILITY FOR INSPIRATION IS LIFE HEALTH AND WELLNESS SERVICES

Name of participant ____________________________________

PhoneNumber_____________________Email_______________________ 

Emergency Contact__________________Relationship________________

I hereby agree, ______________________ understand the importance of being aware of physical health and safety during participation in wellness programs, coaching programs, healing services and events/retreats organized by Inspiration Is Life and facilitated by CEO/FOUNDER Alicia Buivis and TEAM.

Having such knowledge, I hereby acknowledge this release, any representative agents, and successors from accidental injury. _________________________________

I agree to disclose any physical limitations, disabilities, or impairments that may 

affect my ability or ability to participate in such services._________________________________

________________________________________________________

Please share any allergies you have for retreats and in-person offerings? ___________________________________

Confidentiality and Consent:

Alicia and ___________________ (initial here) agree to maintain confidentiality of all personal, emotional, and health information shared during private sessions, group circles, events, or retreats. All experiences shared in the group are to remain private, honoring each participant’s vulnerability and personal process. I consent to receive services and practices offered by Inspiration Is Life, including Reiki, Ayurveda, yoga, somatic, and other holistic healing modalities.

Substance-Free Environment Policy

I agree to honor the sacred, clear energy of the space by refraining from alcohol, drugs, or mind-altering substances before and during sessions, retreats, or events. This ensures the integrity of the experience for all participants in our community._________initial here

Scheduling & Timeliness

I agree to arrive on time and communicate any schedule changes as soon as possible. Respecting timing and structure supports the flow, respect, and overall integrity of the experience. 24 hour cancellation via email is required to keep session otherwise will be considered a no show, you wil forfeit session and be required to pay a $50 rebooking fee._________initial here

Investment, Commitment & No Refund Policy

I understand that all services, mentorship programs, and experiences are non-refundable.

By choosing to enter this space, I am making a commitment to myself—my growth, my healing, and my expansion.

I understand that this work is not something done to me, but something I actively participate in. My results are shaped by my willingness to engage, take responsibility, and apply what is shared.

I take full ownership of my participation and the outcomes I create through this experience.

Initial here: ________

Signature_________________________Date___/___/___