By signing this Release of Liability and Waiver, I consent to receive facial treatments and/or other body work (the “services”) from Skinvigo LLC (hereinafter “Skinvigo”), and acknowledge and agree that I am doing so at my own risk. I understand that the services indent to enhance appearance and relaxation. I acknowledge and agree that I am responsible for my own health; that Skinvigo associates are not health care practitioners and cannot be expected to diagnose and/or treat individual health problems.
I have informed the Skinvigo associate of all my known physical conditions, medical conditions and medications, and I will keep the Skinvigo associate updated on any changes thereto. This includes, but is not limited to: pregnancy, high blood pressure or a heart condition, epilepsy, muscle or joint injuries, allergies or skin sensitivities, use of any medications, recent surgery, as well as metal plates/pins/pacemaker. Some conditions may affect the ability to receive requested treatment or service.
I warrant that to the best of my knowledge, I have no disability, impairment or ailment that prevents me from receiving such services and I hereby assume all risk of personal injuries and all loss of or damage, however caused, which I may sustain directly or indirectly. If I am pregnant or post-natal, my signature verifies that I am participating in the services with my doctor’s full approval. If I have any allergies or health conditions that may affect my participation in the services, my signature signifies that I am participating in the services with my doctor’s full approval.
Consequently, in light of the foregoing, I hereby forever and unconditionally release Skinvigo and its respective agents, employees, operators, technicians, demonstrators, and/or other persons performing said services from any liability for any injury, accident, death, loss, cost or damage to my person or property, whether known or unknown, in law or equity, that occurs during my participation in the services. I agree to defend, hold harmless, and indemnify Skinvigo and its agents, employees, operators, technicians, demonstrators, and/or other persons performing said services from any and all claims, demands, injuries, or damages, including court costs and attorney’s fees and expenses, which may occur to myself including, without limitation, subrogation and/or derivative claims brought by any third party in connection with any injuries or damages I may suffer as a result of my participation in the services. This agreement includes, but is not limited to, any damages or injuries sustained as a result of the sole, joint, or concurrent negligence of Skinvigo and its instructors, agents, and employees.
Please list all allergies, medical conditions, medications and supplements taken: