<h3>**Client Information:**</h3>

<label>First Name <span style="color:red">*</span>   
[text* first-name class:form-control placeholder "First Name"] </label>
<label>Last Name <span style="color:red">*</span>    
[text* last-name class:form-control placeholder "Last Name"] </label>
<label>Phone <span style="color:red">*</span>    
[text* home-phone class:form-control placeholder "Phone Number"] </label>
<label>Your Email <span style="color:red">*</span>    
[email* your-email class:form-control placeholder "Your Email"] </label>
<label>Address <span style="color:red">*</span>   
[text* address class:form-control placeholder "Address"] </label>
<label>City
[text city class:form-control placeholder "City"] </label>
<label>State   
[text state class:form-control placeholder "State"] </label>
<label>Zip    
[text zip class:form-control placeholder "Zip"] </label>

<h3>**Nature of Services:**</h3>
<p>!, [text* text-full-name placeholder "My full name"], acknowledge that I am seeking wellness services from Soul Sight Wellness LLC for the purpose of multi-modal intuitive guidance and healing.</p>

<h3>**Acknowledgment of Understanding:**</h3>
<p>I understand and agree to the following:</p>
<ol><li>The psychic services provided are for entertainment and guidance purposes only and do not constitute professional, financial, medical, or legal advice.</li>
<li>The information provided during the session is based on intuitive insights and should be considered speculative.</li>
<li>I have the free will to accept or reject any guidance provided and am responsible for my own decisions and actions.</li>
<li>The wellness practitioner cannot guarantee the accuracy, relevance, or outcome of any information shared during the session.</li>
<li>I release Soul Sight Wellness LLC from any liability for any decisions or actions I take based on the information provided during the session</li>
</ol>

<h3>**Confidentiality:**</h3>
<p>I understand that the information shared during the session will be kept confidential by Soul Sight Wellness LLC, except where required by law.</p>

<h3>**Payment and Cancellation Policy:**</h3>
<ol><li>Payment for services is due prior to the time of the session.</li>
<li>Cancellations must be made 48 hours in advance to avoid a cancellation fee, as <a href="https://soulsightwellness.com/terms-conditions-and-cancellation-policy/" target="_blank">outlined by Soul Sight Wellness LLC.</a></li>
</ol>
<h3>**Signature:**</h3>
<p>By signing below, I acknowledge that I have read and understand the terms of this waiver form and agree to abide by them.</p>
[signature signature-732 color:#000000 backcolor:#ffffff width:400 height:200 id:10 class:contact7-signature]

<label>Date <span style="color:red">*</span> 
[date* date-of-signature placeholder "Today's Date"] </label>

[submit "Submit"]