Name

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I, the undersigned, do hereby voluntarily submit and hereby assume all responsibility for all damages, injuries or losses that I may sustain or that may incur, if any, while attending or participating in any and all programs under the direction of Allison Kalsched and/or Meemur, LLC. I waive all claims against Allison Kalsched and Meemur, LLC for any claims or injuries that I may sustain. I further understand that I am participating in a training program with Allison Kalsched and Meemur, LLC at my own risk and that my medical treatment given to me will be the first aid treatment only. I declare that I do not have any limiting physical conditions, illnesses or disabilities which would prohibit participation in any program offered by Allison Kalsched or Meemur, LLC. I understand and agree to abide by the 24 hour cancellation policy which is stated as follows. All cancellations MUST be made 24 hours prior to set appointment time. If appointment is cancelled within 24 hours of appointment, Allison Kalsched and Meemur, LLC have the right to charge me the full fee for the missed appointment. *

Please enter your name here as an electronic signature to confirm your agreement with the statement above.

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