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Emergency Contact *

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What are you interested in using Shiftwave for?

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Sleep

Pain

Stress / Anxiety

Focus

Energy & Vitality

Longevity

Waiver

Please do not proceed without first consulting your medical provider if you have or have had any heart conditions, recent surgeries, or implanted medical devices including (but not limited to) shunts, stents, meshes, venous filters, aneurysm clips, or pacemakers. Additional medical contraindications include unstable angina, epilepsy, detached retina, deep vein thrombosis, and pregnancy. I understand and acknowledge that wellness sessions provided by California Shiftwave are intended solely for general wellness and stress management purposes, and there is no explicit or implied promise of cure or treatment for any specific medical condition or disease. I waive any claim against California Shiftwave arising from my participation in these wellness sessions. This consent and waiver apply to all current and future sessions provided by California Shiftwave. I grant California Shiftwave permission to use my likeness in photographs, videos, or other digital media in any of its publications and promotional materials.

By checking the box, I acknowledge and agree to the terms and conditions outlined in the waiver.