In consideration for obtaining services and using equipment related to Whole Body Cryotherapy, Localized Cryotherapy, Cold Plunge, PEMF, Hyperbaric, Compression Therapy, Infrared Sauna, LED Light Therapy and or Massage Therapy or any other service offered (hereinafter referred to each as a “Service”, and collectively as the “Services”), I hereby EXPRESSLY RELEASE, WAIVE, DISCHARGE and HOLD HARMLESS Signature Sports Massage LLC d/b/a Hyperformance Sports Recovery, its members, owners, officers, representatives, agents, employees and contractors (hereinafter referred to as the “Releasees”) from any and all claims demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, that may be sustained while obtaining the Services or due to the obtaining of the Services.
I hereby confirm and agree that no warranty or guarantee, or other assurance, has been made to me relating to the results of the Services, and I hereby release Releasees and hold them harmless from all liabilities for injury or damage that may occur to me. I fully understand the implications of administration of the Services, including possible adverse reactions, side effects, or other possible complications. It is understood that this Consent, Waiver of Liability, Release, Indemnification, and Hold Harmless Agreement (this “Agreement”) is being given in advance of administering the Services, and is being given by me voluntarily to obtain the Services. I agree that I am participating in the Services on my own accord and I represent and warrant to Releasees that I am physically and mentally fit to participate in the Services and that, as a result, able to participate in the Services. I hereby assume sole responsibility for my wellbeing in connection with receiving the Services.
I am fully aware of the risks and hazards connected with the Services, including the risk of physical injury or disability as a result of any physical injury, up to and including death, and I am voluntarily participating in said Services. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE, OR PERSONAL INJURY that may be sustained, or any loss of damage to property as a result of being engaged in the Services.
I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the Releasees from any loss, liability, damage or costs, including reasonable attorney’s fees that Releasees may incur due to providing the Services to me.
It is my express intent that this Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assignees and personal representative, if I am not alive, and shall be deemed as a RELEASE, WAIVER, AND DISCHARGE of the above named Releasees.
I understand that the Releasees will not be responsible for any medical costs associated with any injury occurring as a result of the delivery of the Services.
I understand that the Services are provided for the basic purpose of relaxation, stress reduction, relief of muscular tension, recovery from muscular tension, and recovery from surgery, illness or injury. I further understand that the Services should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment.
I understand that the technician administering the Services is not qualified to perform skeletal adjustments, diagnose and/or prescribe medical conditions, and that nothing said in the course of the session should be construed as such.
I affirm that I have stated all my known medical conditions and answered all questions honestly. I agree to keep the technician updated as to any changes in my medical profile and understand that there shall be no liability on the technician’s part should I forget to do so.
