Waiver Form * I hereby acknowledge that I have voluntarily chosen to participate in the programs offered by Kristy Mia. I understand that the programs involve physical, emotional, and mental activities that may have inherent risks. I acknowledge that Kristy Mia is not a licensed medical professional and that the programs offered are not a substitute for medical advice or treatment. I understand that it is my responsibility to consult with a healthcare provider before participating in any physical activities or making any changes to my health routine. I hereby release Kristy Mia and affiliates from any liability for any injuries, damages, or losses that may occur as a result of my participation in the programs. I understand that I am solely responsible for my own well-being and any decisions I make during the program. I understand that the information shared during the program is for educational purposes only and should not be considered as professional advice. I agree to use my own judgement and discretion when implementing any recommendations or suggestions provided by Kristy Mia. I grant Kristy Mia permission to use any photographs, videos, or testimonials taken during the program for promotional purposes on their website, social media, or other marketing materials. By checking the box below together with my full name, I acknowledge that I have read and understood the information provided in this waiver form. I voluntarily assume all risks associated with my participation in the programs offered by Kristy Mia. I agree to the terms stated in this waiver form. Date MM DD YYYY Name * First Name Last Name Program Name Thank you for taking the time to complete these Intake Form and Waiver Form. Your information is held in confidence and not shared. Your responses will help us tailor our support to meet your unique needs.If you have any questions, please don't hesitate to reach out to me at kristymiaco@gmail.com. I am so excited to be on this journey with you!