Below is your Electronic Signature–Ready Version of the waiver, structured specifically for:

• DocuSign
• Adobe Sign
• Jotform
• Jane App
• Practice Better
• Square Online
• Or any Canadian-compliant e-sign platform

This version includes required electronic consent language and signature acknowledgments under Canadian electronic commerce laws.

Effective Date: ___________________

By signing this document electronically, I acknowledge and agree that:

• My electronic signature is legally binding under applicable Canadian electronic commerce legislation.
• I consent to the use of electronic documents and electronic signatures.
• I understand that I may request a paper copy of this Agreement.
• I confirm that I am signing voluntarily.

☐ I consent to use electronic signatures and records.

Participant Full Legal Name: ______________________________________

Date of Birth: _________________________________________________

Address: _______________________________________________________

City/Province: ________________________________________________

Postal Code: _________________________________________________

Phone Number: _______________________________________________

Email Address: _______________________________________________

☐ Participant is 18 years of age or older
☐ Participant is under 18 years of age (Parent/Guardian section required)

Zensations Health & Wellness Inc. (“Zensations”) provides wellness-related services, including but not limited to:

• Holistic consultations
• Movement or fitness sessions
• Nutritional guidance
• Stress management services
• Workshops and educational programming
• Virtual/online sessions via Zoom or similar platforms

These services are for wellness and educational purposes only.

☐ I acknowledge and agree.

I understand and acknowledge that:

• Zensations does not provide medical diagnosis or treatment unless explicitly stated.
• Services are not a substitute for professional medical advice.
• I should consult a licensed healthcare provider before beginning participation.
• In case of emergency, I am responsible for contacting emergency services.

☐ I acknowledge and agree.

I understand participation may involve risks including:

• Physical injury
• Muscle strain or soreness
• Emotional discomfort
• Aggravation of pre-existing conditions
• Risks associated with unsupervised physical activity (including virtual sessions)

I voluntarily assume all risks related to participation.

☐ I acknowledge and agree.

If participating virtually, I understand:

• Internet interruptions may occur.
• No online platform guarantees complete confidentiality.

• I am responsible for ensuring a safe and hazard-free space.
• Zensations cannot physically intervene during online sessions.

• Zensations cannot provide emergency response.
• I am responsible for contacting emergency services if required.

☐ I acknowledge and agree.

Please select your preference:

☐ I consent to recording for personal review only.
☐ I consent to recording for internal training/quality assurance.
☐ I consent to recording for marketing/promotional use.
☐ I do NOT consent to recording.

I understand recordings remain the intellectual property of Zensations Health & Wellness Inc.

To the fullest extent permitted by the laws of Canada and the Province of ____________________, I release and discharge Zensations Health & Wellness Inc., its directors, officers, employees, contractors, and affiliates from all claims, liabilities, or damages arising from participation in services, including virtual services, except where liability cannot legally be excluded.

☐ I acknowledge and agree.

I confirm that:

• I am physically and mentally capable of participating.
• I have disclosed relevant medical conditions.
• I will inform Zensations of changes in my health status.

☐ I acknowledge and agree.

I agree to indemnify and hold harmless Zensations Health & Wellness Inc. from claims arising from:

• My participation
• Unsafe conditions in my environment during virtual sessions
• Breach of this Agreement

☐ I acknowledge and agree.

If the participant is under 18:

Parent/Guardian Full Name: ______________________________________

Relationship to Minor: __________________________________________

Phone: _________________________________________________________

Email: _________________________________________________________

By signing below, I:

• Confirm I am the lawful parent/legal guardian.
• Consent to the Minor’s participation.
• Assume all risks on behalf of the Minor.
• Accept legal and financial responsibility.
• Agree to indemnify Zensations from claims related to the Minor.

☐ I acknowledge and agree.

This Agreement is governed by the laws of the Province of ____________________ and the federal laws of Canada applicable therein.

☐ I acknowledge and agree.

Full Legal Name (Typed): ______________________________________

Electronic Signature: _________________________________________

Date: ________________________________________________________

IP Address (Auto-captured by platform): _________________________

Full Legal Name (Typed): ______________________________________

Electronic Signature: _________________________________________

Date: ________________________________________________________

IP Address (Auto-captured by platform): _________________________

For legal enforceability in Canada, ensure your e-sign platform:

• Captures timestamp
• Captures IP address
• Requires checkbox acknowledgments
• Stores an audit trail
• Sends signed copy to participant
• Requires parent signature field when minor is selected

If you'd like, I can now:

• Add a mandatory initial beside each section version (stronger legally)
• Create a fillable form field map for DocuSign
• Create a Jotform or Jane App field structure layout
• Strengthen it to “maximum enforceability” standard for higher-risk physical services**