Release of Liability and Assumption of RiskS

This release is a binding legal contract. Please read it carefully before signing.

I, __________ desire to participate in Exubrancy's massage, fitness, meditation and / or wellness events. I fully agree that participating in Exubrancy's services is at my own risk and I agree that I will not hold Exubrancy responsible for my own negligence or the negligence of others, including but not limited to lacerations, abrasions, contusions, musculoskeletal injuries, head injuries, disability and death. This Release covers any and all activities undertaken by me as a participant of Exubrancy's services.

The following information is needed for us to complete your electronic waiver form. Please fill all required information below.

Participant Name

First Name

Last Name

Company Name

Email Address

Select

By selecting yes, you are consenting to the use of an electronic signature in lieu of an original paper signature. You have the right to request that you sign a paper copy instead. By selecting yes, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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Release of Liability and Assumption of RiskS

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