I acknowledge that this Qigong Healing Institute class/session is not intended to replace orthodox medicine, but rather to complement it. The meditation practices, techniques and prescriptions described herein are powerful and may be too emotionally, mentally and physically demanding for some people. The student/client should therefor use his/her own discretion and consult a health care professional before engaging in these exercises and meditations. The qigong/tai chi teachers and qigong practitioners at the Qigong healing Institute are neither liable nor responsible for any loss or damage caused, or alleged to be caused, directly or indirectly, by participating in or interpreting information provided in the Qigong Healing Institute class/session or following the instructions prescribed for any condition. The prescriptions offered by the Qigong Healing Institute practitioners target specific internal organs, channels and channel points; and the exercise prescriptions are selected based on the practitioners understanding of the student/client ailment. If the ailments severe, or if symptoms persist, please consult a health care professional immediately In consideration of being allowed to participate in this class/session, I do hereby knowingly and voluntarily, on behalf of myself and my heirs and assigns, forever waive, release, discharge and hold harmless Qigong Healing Institute, its owners and its subsidiaries, affiliates and their respective employees, agents, representatives and successors and assigns from any and all liability, damages, losses, suits, demands, causes of action (including, without limitation, negligence) or other claims of any nature whatsoever, including, without limitation, any losses for property damage, personal injury or death, arising out of or relating in any way to my participation in this class/session and its related programs and activities or my use of any facilities, equipment or machinery in connection with this class/session.

I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury, accident, and/or illness during a class/session.

I represent and acknowledge that I have read and understand this Class/Session Liability Waiver and Release. The invalidity, in whole or in part, of any portion of the above paragraphs will not affect the remainder of the form. My voluntary execution of this form evidences my agreement to the terms, provisions, waivers and releases as set forth above.