I verify that all information is correct and current to the best of my knowledge. I understand that any information provided is for safety purposes and will be kept strictly confidential, except that such information may be used by Radiant Sun Acaedemy, LLC.

I hereby give my consent to receive massage services and/or other bodywork or treatment (the “Services”) from Radiant Sun, LLC, and I acknowledge and agree that I am doing so at my own risk. My health and safety with respect to such Services are my sole responsibility. I acknowledge that my receipt of the Services from Radiant Sun Academy, LLC may result in bodily injury to me or my death. My decision to receive Services from Radiant Sun Academuy, LLC is voluntary, and I know of, understand and assume any and all the risks associated therewith.

In exchange for receiving Services from Radiant Sun Academy, LLC, I, for myself and on behalf of my heirs, executors, administrators and personal representatives, hereby waive, release, discharge and hold harmless Radiant Sun Academy, LLC, its members, officers, employees and agents from any and all liability for any and all injuries, including death, damages or claims relating to or resulting from my receipt of the Services, now or in the future, foreseen or unforeseen. Further, I will indemnify and hold Radiant Sun Academy, LLC, its members, officers, agents and employees, harmless from and against any and all claims, rights, damages, liabilities, losses, costs and expenses (including reasonable attorneys’ fees) arising from or in connection with any injuries to other persons or damage to property caused by or attributed to me.

I acknowledge that I have read, and understand, the release and indemnification provisions set forth in the preceding paragraph, and agree to such terms.