Acknowledgement & Assumption of Risk

I understand that I am being asked to carefully read each of the provisions in this form. I acknowledge and agree to have receive therapy services from Pelican Therapy Partners and/or any employee or independent contractor employed by Pelican Therapy Partners.
I acknowledge that there is some inherent risks associated with the use of therapy equipment that cannot be eliminated regardless of the care taken to avoid injuries. 

Some of unlikely but potential injuries include: Therapy Gym, rock wall, slides, trampoline, swings, outdoor playground, and ball pit.

I understand the risks and I hereby assert that my participation is voluntary and that I knowingly assume such risks without holding Pelican Therapy Partners and/or any employee or independent contractor employed by Pelican Therapy Partners accountable for any losses, injuries or other damages occurring to the client and/or myself. I further understand that I am fully responsible for my own safety.
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