BODY MASTERY LIABILITY WAIVER

Informed Consent and Acknowledgment of Risk

By submitting this form on the page, I acknowledge that I am voluntarily engaging in Body Mastery events/practices with Dr. Evan Johnson, a licensed chiropractor in the state of Texas and any affiliated attendees. I understand that bodywork, massage, acro yoga, kama flight, dance and partner movement, chiropractic care, including spinal adjustments, soft tissue work, and other associated treatments, is a form of healthcare that focuses on the musculoskeletal and nervous systems.

I understand that:

1. Chiropractic care involves the adjustment and manipulation of the spine and other joints to improve function and reduce discomfort.
2. As with any healthcare procedure, there are inherent risks associated with chiropractic treatment, including but not limited to:
   • Temporary discomfort or soreness
   • Sprains or strains
   • Rare but serious complications such as fractures, disc injuries, or stroke (associated with neck adjustments)
3. You as the attendee are responsible for educating yourself on any potential risks, allowing you to make an informed decision about your time at HAVAN from July 10-13th.
4. I have disclosed my full medical history to the best of my ability, including any underlying conditions, previous surgeries, and medications, to ensure safe treatment.

Release of Liability

I hereby release and hold harmless Dr. Evan Johnson & Body Mastery, and its staff from any claims, damages, or liability that may arise from my participation, experience, and treatment, except in cases of gross negligence or willful misconduct. I understand that results may vary, and no guarantees have been made regarding my condition or recovery.

Consent to Treatment

I authorize Dr. Evan Johnson & Body Mastery to make informed decisions on my behalf in case of an emergency and I reserve the right to leave the property at anytime and act on my free will upon entering the property on July 10-13th.