Guest onboarding
1
Intake
2
Session
3
Confirmed

Sensory Assessment & Liability Waiver

Complete your sensory readiness screening and execute participant informed consent below.

Regenesis Recovery

Book a private session

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recovery pod by Novak Djokovic
Neurological & Sensory Screening
1. Do you have any psychological or psychiatric conditions?
2. Have you suffered any head or brain injuries or strokes in the past?
3. Have you or your family had any history of epilepsy or seizures???
4. Do you have photosensitivity - or do flashing lights trigger migraines, dizziness, or discomfort?

1. VOLUNTARY ASSUMPTION OF RISK: I acknowledge that sessions inside the Regenesis Pod utilize multi-sensory light frequencies, acoustic vibration, and environmental atmospheric regulation. I affirm that my answers to the neurological and photosensitivity assessment are truthful and accurate.

2. RELEASE OF LIABILITY: In consideration of participating, I release and hold harmless Regenesis, its directors, employees, and authorized agents from any claims, injuries, damages, or liabilities arising directly or indirectly from session participation.

3. DIGITAL SIGNATURE ACKNOWLEDGMENT: By executing below electronically, I certify that I am legally competent to execute this release. This electronic signature satisfies all legal requirements of an ink signature.

Draw Digital Signature *
Sign with finger or stylus
✕ Sign on line Regenesis Touch Capture