I, (Client's Name) hereby release Jonathan James Lee from any liability or claims that could be made against (him/her) concerning my mental and/or physical well-being during the services and treatment/s that has been outlined and agreed upon (now and in the future) by filling out this form.

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Scope of Practice
I understand that Jonathan James Lee is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnotherapy should not be considered a replacement for the advice and/or services, of a psychiatrist, psychologist, psychotherapist, or doctor. I also will consult the advice of my physician or another professional medical practitioner before considering the services provided by Rapid Change Therapy, which may include hypnotherapy, Rapid Transformational TherapyTM (RTTTM), and other services and treatment (collectively, “Services”). THE SERVICES ARE NOT INTENDED TO REPLACE MEDICAL TREATMENT.

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Participation
I give Jonathan James Lee/ Rapid Change Therapy full permission to hypnotize me and to use Rapid Transformational Therapy®. I acknowledge and accept that I play a crucial role by participating fully in the treatment process and by listening to my personalized recording daily for a minimum of 21 days plays a crucial role in the success of my treatment/s.

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Guarantee
Jonathan James Lee cannot and does not guarantee my desired results since the success of my treatment/s depends on factors which Jonathan James Lee has no control over, such as my commitment and desire to bring about the necessary changes within me.

By simply participating in the Services does not guarantee success, and Rapid Change Therapy makes no representation or guaranty through my participation in the Services. All information on the Rapid Change Therapy website or included in statements, testimonials, or materials made or distributed by or on behalf of Rapid Change Therapy is for informational purposes only and are not intended to be relied on by the Client or to constitute a representation of the effects or benefits of the Services.

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The Session
I knowledge and give permission to Jonathan James Lee/ Rapid Change Therapy to make audio recordings that may include my voice. Such recordings are either made during the session or after. These recordings and any form of media produced and distributed to me by Jonathan James Lee/ Rapid Change Therapy remain the property of Jonathan James Lee/ Rapid Change Therapy who retains the copyrights.

Where deemed necessary as part of the Rapid Transformational method of practice I allow and consent Jonathan James Lee rock my head, lift up my arm/s, hands, touch my forehead when required to assist in the deepening process.

By my signature below, as the “Client” (and if applicable “Guardian”), I further represent that I have read and understood and agree to the following: I give full permission to Jonathan James Lee/ Rapid Change Therapy to release information pertaining to my treatment to a specific agency or individual if a vulnerable person (child/ adult) is at risk of harm or if I the client is in danger to myself or others or if a subpoena has been requested.

I freely and voluntarily choose to participate in the Services provided by Jonathan James Lee/ Rapid Change Therapy. My participation may include unknown negative reactions. I accept any and all risks for any adverse reactions that I may have. I understand that participants with certain health conditions such as epilepsy and mental health illnesses are not recommended to participate in the Services. I represent to Jonathan James Lee/ Rapid Change Therapy that I have no such health conditions that would prevent me from safely participating in the Services.

I HEREBY ASSUME ALL SUCH RISKS associated with the Services, know or unknown, including without limitation injury, illness, death, and/or other adverse reactions. I am aware of such risks associated with the Services, including my own physical condition and the actions or conduct of others that I may come into contact with after participating I ASSUMING ALL SUCH RISKS, I HEREBY RELEASE, WAIVE ANY AND ALL CLAIMS AGAINST, WILL NOT SUE AND WILL HOLD HARMLESS, Jonathan James Lee/ Rapid Change Therapy, from all actions, omissions, causes of action, suits, debts, damages, losses, judgments, injuries, liabilities, and claims and demands whatsoever, in law or in equity (collectively, “Claims”), including without limitation personal injury and death, emotional distress, indirect damages, consequential damages or exemplary damages, even though such Claims may be caused by or resulting from the negligence or carelessness of such released parties. 

I agree that this waiver and release binds me and my heirs, distributees, guardians, legal representatives, successors, and assigns. Further, I agree to indemnify, protect, defend and hold harmless Jonathan James Lee/ Rapid Change Therapy from and against all claims arising from or in connection to my involvement or participation in the Services offered by Jonathan James Lee/ Rapid Change Therapy.

IF THE CLIENT IS UNDER 18, THE PARENT (OR GUARDIAN, IF ANY) MUST SIGN BELOW:
I am the parent or legal guardian of the above Client and he/she has my permission to participate in the Services with Jonathan James Lee/ Rapid Change Therapy.

I have read and agree to the provisions stated above for myself and the Client. I agree to indemnify, protect, defend and hold harmless Jonathan James Lee/ Rapid Change Therapy of all liabilities, claims, losses, damage or injury to person or property which may occur or be incident to Client’s involvement or participation in the Services offered by Jonathan James Lee/ Rapid Change Therapy.