Forms | Northern Lights EES

Join Northern Lights Energetics

We ask that you fill out this form before purchasing a package or signing up for a session.

This is a mandatory form that needs to be filled out once by every person joining the session!

First Name

Last Name

Phone

Which location would be preferable to you?

889 Alder Ave Ste 203, Incline Village, NV

512 N Division St, Carson City, NV

We are currently setting up a schedule and would like to know what times and days work best for you!

Liability Release Form

Private Membership Terms & Conditions

READ ME

I understand that products and services offered by Northern Lights Energetics support the body, mind, and soul's natural ability to create wellness in my life. I understand the Northen Lights Energetic's facilitators do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a licensed medical professional. I understand that energy healing, or any service provided by Northern Lights Energetics does not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physiological or psychological ailment I may have. I understand that energy healing provided by Northern Lights Energetics can compliment any medical or psychological care I may be receiving. I also undestand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial. I acknowledge that long term imbalances in the body sometimes require multiple sessions in order to facilitate the level of relaxaton needed by the body to heal itself. Northern Lights Energetics is not liable for my medical, mental, or emotional conditons before, during, or following any service provided by Northern Lights Energetics. I take personal responsibility for my well-being and with respect for myself, I gracefully accept control of my choices. My heirs, guardians, legal representatives, and I hereby and forever release, waive, and discharge any claims against Northern Lights Energetics and/or any of their associates or affiliates. I take full responsibility and am responsible for all liability for loss or injury incurred while in association with Northern Lights Energetics and/or any of their associates or affiliates. I have carefully read this agreement and fully understand its content. I am aware that this is a waiver and release of potential liability and a contract between the above noted parties and myself. I understand that this contract is binding and acknowledge that I am signing this of my own free will.

I accept the terms & conditions of the Private Membershp Association and the liability release form.

Your Signature

If you have any questions about this form, please contact us here!

Questions?