Book a Session

Please complete this form at least two days before your first session. Dress to your comfort; shorts and a sports bra (or bare chest for those with male pattern bodies) will help me access acupoints more precisely.

About You
Relevant Health Information *

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Your Session

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Choose Your Date & Time *

Sessions are one hour, offered Tuesdays, Thursdays & Saturdays between 9am and 1pm. We'll confirm your booking by email.

Release of Liability

Please read carefully before signing.

In consideration of the undersigned individual (“I” or “me”) being permitted by Jarin Wadiwalla of The OMbak Way (“Company”) to receive tuning fork, sound therapy and related services (the “Therapy”), I agree as follows:

1. I acknowledge and agree that (i) I am physically able to engage in the Therapy, (ii) I have no known conditions that would restrict me from participating in the Therapy, and (iii) my doctor has not restricted me from engaging in the Therapy.

2. I confirm that I will follow all instructions, recommendations, and cautions of the Company at all times while on the Company’s premises or during the Therapy. If at any time I believe conditions to be unsafe or I am no longer in proper physical condition to participate in the Therapy, I will immediately discontinue further participation in the Therapy.

3. I am aware and understand that a risk of injury is present whenever I participate in the Therapy, which may result in illness, personal or psychological injury, pain, suffering, temporary or permanent disability, death, and/or financial loss. I acknowledge that these risks may result from or be compounded by the actions, omissions, or negligence of Company employees or others, including negligent emergency response or rescue operations of the Company. I understand that while the Company has implemented measures to reduce the risk of injury from the Therapy, the Company cannot guarantee that I will not be injured while on the Company’s premises or during my participation in the Therapy. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS ARISING FROM THE THERAPY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE COMPANY OR OTHERWISE.

4. I hereby expressly waive and release any and all claims, now known or hereafter known, against the Company and its members, officers, managers, employees, agents, successors, and assigns (collectively, “Releasees”) on account of personal or psychological injury, illness, pain, suffering, temporary or permanent disability, death, or financial loss arising out of or attributable to my being on the Company’s premises or participating in the Therapy, whether arising out of the ordinary negligence of the Company or any Releasees or otherwise.

Typing your full legal name above constitutes your electronic signature and has the same legal effect as a handwritten signature.