CLIENT REGISTRATION FORM & LIABILITY WAIVER: Cryoskin Australia

FOR MARKETING USE 

In participating in the Services, you may be photographed, videoed or otherwise recorded by the Company for safety, monitoring and training purposes.

If pictures are used for education and marketing purposes, all identifying marks will be cropped or removed, unless the Cryoskintreatment is done on the face. You hereby consent to such usage of your imagery for all and any such purpose by the Company and hereby agree that the Company without any payment to you shall in all cases be the sole owner of all intellectual and other proprietary rights therein without any restriction whatsoever. 

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

In consideration of engaging in any way in any Cryoskin Australia services and using the Company’s equipment and facilities in relation thereto, I the undersigned, acknowledge, appreciate, and agree that:

1. There are certain inherent risks and dangers associated with receiving Services and my use of the Company’s equipment and facilities. At all times, I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions given to me by staff. If in the subjective opinion of the Company’s staff, I would be at physical risk in receiving Services, I understand and agree that I may be denied access to Services until I furnish the Company with an opinion letter from my medical doctor, at my sole cost and expense, specifically addressing the Company’s concerns and stating that the Company’s concerns are unfounded.

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE (RELEASEES) or others, and assume full responsibility for my participation in the Services. I hereby (1) agree to assume full responsibility for any and all injuries or damage which are sustained or aggravated by me in relation to my receiving of the Services.

3. I willingly agree to comply with terms and conditions for receiving the Services.I represent that: (a) I have no medical or physical condition that would prevent me from receiving the Services, (b) I do not have a physical or mental condition that would put me in any physical or medical danger, (c) I have not been instructed by a physician to not receive Services, (d) no warranty or guarantee, or other assurance, has been made to me covering the results of the Services, (e) knowing the risks involved I nevertheless chose to voluntarily request the Services.

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Cryoskin Australia, its officers, officials, agents and/or employees, owners and lessors of premises used to conduct the services (RELEASEES), from any and all responsibility, claims, demands, losses, costs, damages, and liability arising out of or related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

DISCLAIMER

I declare that I have read, understood and answered the questions in this form to the best of my knowledge. I have no known medical condition or allergies that may affect or induce a harmful reaction from a CryoSlimming (cryolipolysis) or a CryoToning/CryoFacelift treatment.

I understand that if I have a specific condition that is not mentioned in this form, I should first ask my doctor for medical advice. I understand that the operator might refuse to conduct a Cryoskin treatment as a precaution.

I understand that pregnant women or other persons with physical limitations should not use Cryoskin for safety reasons. Notwithstanding the foregoing (and by way of illustration only and not limitation) if any of the following apply to me or if I’m unsure for any reason, I hereby acknowledge the Company’s recommendation that I consult a medical physician before receiving Cryoskin Services:

• Severe Raynaud's Syndrome
• People who suffer from very poor circulation
• Severe Diabetes
• Cancer.

I understand that sometimes localised redness can occur during the treatment, or the client might feel some discomfort or itching without consequences and often due to the reactions with certain cosmetic products. These side effects usually disappear soon after the treatment.The completed Client Registration Form is for informational purposes only. Cryoskin Australia and its staff are not medical professionals, and do not claim to be. We are Cryoskin experts and hold the highest standard of safety, customer service and education. The Cryoskin products and equipment have not been tested or approved by the FDA or any other government agencies for the treatment of any illness or disease. The information above is for the therapist’s record only and will not be misused or passed on to any third parties, unless with authorisation of the client.

Notwithstanding the foregoing (and by way of illustration only and not limitation) if any of the following apply to me or if I’m unsure for any reason, I hereby acknowledge the Company’s recommendation that I consult a medical physician before receiving Body Ballancer Pro Services:

• Pain and/or numbness
• Ischemic vascular disease
• Uncontrolled congestive heart failure
• Deep vein thrombosis
• Arterial disease or areriosclerosis.

I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this treatments. I understand that results are individual and may vary.

TERMS & CONDITIONS

I, the undersigned, in consideration of participating in the services provided by Cryoskin Australia, state that I have read and understand and hereby expressly accept and agree to the following terms and conditions:

Booking Policy: Prepayment of the service or a minimum $50 non-refundable deposit is required when booking any service.

Cancelation Policy: We have a strict 48-hour cancelation policy. All appointments must be canceled at least 48 hours in advance for the service fee or $50 booking deposit to be transferred to a new date. Any appointments canceled or changed within the 48-hour time will be forfeited. If you missed your appointment on a prepaid package and you wish to reclaim it, there is a $50 fee in order to do so. 

If you don’t turn up for your treatment without notifying us, this is considered a No Show. In this instance, the below will apply:

- You will forfeit your payment
- You will be requested to pay a deposit when next booking an appointment
- A treatment or the booking deposit will be forfeited if your appointment included a pre-purchased treatment from a package.

Running Late: It happens to all of us from time to time, so all we ask is that you let us know prior to your appointment, and we will do our best to provide you with as much of your treatment in the allocated time as we can. Generally we will have other clients booked in right after your appointment and out of respect to them, we need to have your treatment completed on time. To guarantee your full treatment time, please ensure you are not late.

Purchase Policy: Cryoskin Australia provides services according to a published price list. By scheduling an appointment with us, you agree to pay the published or agreed-upon price for that service, and all fees and charges incurred in connection with your purchases (incl. any relevant taxes, fees) at the rates in effect when the charges were incurred. You acknowledge that Cryoskin Australia reserves the right to charge for Services and to change its fees from time to time in its discretion, upon posting on the Website or otherwise. Payment for Services is required at time of booking prior to providing the Service. Discounted promotions must be applied or mentioned at time of purchase in order to be valid and cannot be claimed retrospectively.

Services and treatment packages must be redeemed within 6 months from date of purchase, after which, any unused portion will be forfeited. 

Refund Policy: Single sessions, multi-session packages and payments on a direct debit agreement are non-refundable and are subject to our cancelation policy. Packages are non-transferable. If a transfer is agreed, a service fee may apply. 

PRECAUTIONARY COVID-19 LIABILITY RELEASE 

Due to the 2019-2020 outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as sanitisation and disinfecting practices.

Symptoms of COVID-19 include:

• Fever

• Fatigue

• Dry cough

• Difficulty breathing

Our employees and contractors of this facility agree that they abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions, and all our staff and contractors have been thoroughly trained in these.

By signing below, you agree to the following:

I understand the above symptoms and affirm I will not visit the clinic if I have experienced any cold or flu-like symptoms, have traveled outside of the country, or been in contact with anyone affected by COVID-19 in the 30 days previous to my appointment.

I understand that this business and its affiliates including directors, employees, contractors and therapists can not be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each client.

By signing below I agree to each above statement and release Cryoskin Australia and its affiliates for the unintentional exposure or harm due to COVID-19.

I {customerName} HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.