Client Informed Consent Form

Name(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
Consent(Required)
I agree to take complete responsibility for my own comfort, health and well-being while working with Cyrus Bush. I agree that the checkboxes above are my agreement of the terms. I agree that typing or signing my name below is the electronic equivalent of my actual signature.
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