Soul Work Declaration

Please fill out the following form
in order to participate in our activity.

First Name

Last Name

Date of Birth

Have you been hospitalized in the last 12 months?

Yes

Are you suffering from a medical condition, illness, or injury?

Yes

If you answered yes to any question, please elaborate

Initials

I declare that the info I’ve provided is accurate & complete

I am voluntarily participating in this activity and I release Soul Work Studio and its employees entirely free from any liability, including financial responsibility for injuries incurred, regardless of the reasons or circumstances.

I acknowledge the risk involved with this activity including, but not limited to, muscle tears, sprains, and other physical injuries. I certify that my participation is voluntary and I have been made aware of the risks. Additionally, I do not have any conditions that may increase my likelihood of injury.

I will make every effort to listen to my body and soulworker guidelines, and will ask for clarification if needed.

Thanks for submitting!

Soul Work Declaration

Make A Deposit Into Yourself.

Soul Flower Work