In consideration of being permitted to participate in any classes, events or activities (the “Program”) hosted, sponsored, or affiliated with Frequency Consciousness, Inc. (the “Company”), I hereby voluntarily acknowledge and agree as follows:

  • I fully understand that I will be engaging in activities that may involve physical exercise and risks of serious injury, including permanent disability and death, which might result not only from my own actions, inactions, or negligence, but also that of other persons, the activities, or the condition of the premises or equipment used;
  • I understand that it is my responsibility to determine that I am physically and medically able to participate in the Program and, if necessary, to consult with a physician prior to and regarding my participation in the Program. I represent and warrant that I have no medical condition that would prevent my participation in the Program, including no known history of epilepsy;
  • I am fully aware of the risks and hazards involved with participating in the Program, including risks of serious injury, permanent disability and death, and that there may be risks neither known nor reasonably foreseeable at this time. I have read the Notice Regarding Photosensitive Seizures below and understand that the Program may include video projections and stimulating visuals. I agree to fully assume all such risks and accept personal responsibility for the damages following any such injury;
  • I agree to release, waive, discharge, and covenant not to sue the Company and its affiliates, officers, administrators, directors, teachers, and other employees of the Company (the “Releasees”) from any and all liability to me, including to my heirs or next of kin, for any and all claims, demands, losses, or damages on account of injury, including disability, death or damage to property, caused or alleged to be caused in whole or in part by the Releasees in connection with the Program, including due to negligence of the Releasees.
  • I agree to conduct myself in a safe and reasonable manner. I agree that I will not participate in the Program while under the influence of drugs or alcohol and will not consume drugs or alcohol while participating in the Program.


A very small percentage of people may have seizures or blackouts when exposed to certain visual images, such as light flashes or patterns that may appear in videos. Even if they have never had a seizure or epilepsy before, some people may have an undiagnosed condition that can cause these “photosensitive epileptic seizures” while watching visual simulations. These seizures may have a variety of symptoms, including lightheadedness, altered vision, eye or face twitching, jerking or shaking of arms or legs, disorientation, confusion or momentary loss of awareness. Immediately stop participating in the Program and consult a doctor if you experience any seizure related symptoms.

I HEREBY ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE OF LIABILITY, THAT I FULLY UNDERSTAND ITS CONTENTS, AND THAT I HEREBY VOLUNTARILY AGREE TO THE TERMS STATED ABOVE. I further certify that I am over 18 years of age and competent to contract in my name. This agreement shall be governed by the laws of the State of New York.