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GENERAL LIABILITY WAIVER

& INFORMED CONSENT

THE MEDICINE BAR
WAIVER OF LIABILITY AND INFORMED CONSENT AGREEMENT

Effective as of Sept 4, 2025

By signing this form, I acknowledge and agree to the following:

1. VOLUNTARY PARTICIPATION

I voluntarily choose to participate in activities, classes, events, or services provided by The Medicine Bar, including but not limited to:

  • Yoga and movement practices
  • Sound healing, energy work, or holistic wellness sessions
  • Consumption of herbal elixirs, smoothies, and wellness products
  • Workshops, live events, and retreats
  • Indigenous practices (kambo, sananga, rapé, etc.)

2. ASSUMPTION OF RISK

I acknowledge that participation may involve inherent risks including but not limited to physical injury, emotional discomfort, allergic reactions, or adverse effects from ingredients. I freely assume these risks.

3. RELEASE OF LIABILITY

I, on behalf of myself, my heirs, and legal representatives, hereby release and hold harmless The Medicine Bar LLC, its owners, staff, independent contractors, partners, and affiliates from any and all claims or liabilities arising out of my participation.

4. MEDICAL DISCLAIMER

I understand that The Medicine Bar does not provide medical diagnosis or treatment. None of the activities or services are intended to substitute for professional medical advice. I affirm I am physically able to participate and will consult a licensed medical provider if unsure.

5. PHOTO/VIDEO RELEASE (Optional – include only if you intend to film or photograph sessions)

I grant permission for The Medicine Bar to use photographs or videos of me for promotional or educational purposes without compensation.

6. AGREEMENT TO TERMS

I have read this waiver, fully understand its content, and agree to be bound by its terms. I sign it freely and voluntarily.

Printed Name: ______________________________________

Signature: ___________________________________________

Date: _____________________

Emergency Contact Name & Phone: _____________________

THE MEDICINE BAR
The Medicine Bar
Disclaimers & Legal Copy

General Disclaimer

The content provided by The Medicine Bar, including all information, classes, services, and products, is intended for informational and educational purposes only. Nothing presented is intended to diagnose, treat, cure, or prevent any disease or medical condition. Always consult with your licensed healthcare provider before beginning any new wellness program or therapy.

Holistic Wellness Disclaimer

Our offerings — including but not limited to sound healing, red light therapy, breathwork, herbal consultations, and energy work — are complementary modalities. They are not substitutes for licensed medical or psychological care. Participation in these services is at your own discretion and responsibility.

Product Disclaimer

All products sold in our boutique and online store, including herbal remedies and essential oils, are for external use only unless otherwise specified. Statements about these products have not been evaluated by the FDA. Always read labels, follow usage instructions, and discontinue use if irritation occurs.

Waiver of Liability

By participating in any services, classes, or events at The Medicine Bar, you acknowledge that you do so voluntarily and assume full responsibility for your physical, emotional, and mental well-being. The Medicine Bar, its owners, practitioners, and staff are not liable for any injury, loss, or damage resulting from participation.

Privacy Policy (Summary)

We respect your privacy. Any personal data collected through our website, forms, or in-person interactions is used solely to support your experience with The Medicine Bar. We never sell or share your information without consent. Full privacy policy available upon request.

Empowered Choice

We honor your autonomy and believe in empowered, informed choices. The Medicine Bar stands for sovereignty, transparency, and respect in all we offer.

The Medicine Bar – Terms of Use

 Terms of Use

Welcome to The Medicine Bar. By accessing our website, booking services, making purchases, or participating in events and offerings, you agree to abide by the following Terms of Use. Please read them carefully.

 Use of Our Website

The Medicine Bar’s website is intended for informational, personal, and non-commercial use. You agree not to misuse or alter any content, attempt unauthorized access to systems, or engage in any activity that disrupts or impairs the website’s functionality.

 Intellectual Property

All content on this website — including logos, images, written materials, and branded elements — is the property of The Medicine Bar and may not be copied, reproduced, or used without explicit written permission.

 Acceptable Conduct

Users of this site agree to interact respectfully and lawfully. Harassment, abuse, spam, or any misuse of contact forms or messaging tools will result in blocked access or legal response as necessary.

 Bookings & Payments

All bookings for classes, services, and events must be paid in full at the time of reservation unless otherwise noted. Late cancellations or no-shows may be subject to fees per our cancellation policy.

 Cancellations & Refunds

We strive to be fair and flexible. However, cancellations made within less than 24 hours of a scheduled service may not be eligible for a refund. Event tickets and special experiences may have unique policies, which will be stated at time of purchase.

 Limitation of Liability

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To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
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The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
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The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
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The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.
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