Private Soundbath Event Waiver Form

To ensure your sound bath experience is as safe, supportive, and

relaxing as possible,

I ask all attendees to complete a short waiver form before the session.

This helps me understand any health considerations or contra-indications that may affect your experience,

and allows me to tailor the session to best suit everyone’s needs.

Thank you for taking a moment to fill it out,

your wellbeing is my priority.

First name

Last name

Birthday

Day

Month

Year

Company name

Date of event

Day

Month

Year

Event location

Any medical issues that Melissa needs to be aware of? (Please enter N/A if none apply)

Any medical electrical devices such as a pacemaker? This is safe for you to attend, but this info will help plan the session in the safest way possible.

The soundbaths that I host are safe, but there are some contra-indications which means that they are not suitable for everybody. Please check the list below.

Contra-indications list: 1st trimester of pregnancy,

Sound induced epilepsy,

Severe sleep apnoea,

An acute mental health condition.

By clicking the box below, you confirm that you have read & checked

the contra-indications listed & you accept full responsibility for attending this event with Melissa Welham of The Sound Sanctuary Norfolk.

I confirm.