Children’s Sound Bath Session

Parent/Guardian Consent Form

~ Private & Confidential 

Session Description

This session is a group sound bath using instruments such as singing bowls, chimes, or similar instruments played in the room to support relaxation and mindfulness.

No physical contact or instruments will be placed on participants.

This session is intended for relaxation and wellbeing and is not a medical treatment.

Health Information

Please inform the facilitator if your child has any of the following:

• Epilepsy or a history of sound-induced seizures

• An implanted medical device (e.g. pacemaker)

• A serious medical condition that may affect participation

• Sensitivity to sound or loud environments

If you are unsure whether this activity is suitable for your child, please consult your healthcare provider before the session.

Parent / Guardian Declaration

I confirm that:

• I have provided relevant health information about my child to the best of my knowledge.

• I understand this is a relaxation activity and not medical treatment.

• My child may choose to stop participating or leave the session at any time if they feel uncomfortable.

• I understand the facilitator may ask my child to step out of the session if their wellbeing requires it or if their behaviour disrupts the safety or experience of the group

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