GOCRYO WBC Waiver

Friday, July 15. 2022 11:16 AM

What is Whole Body Cryotherapy?

Whole body cryotherapy is the exposure of a person's skin to temperatures as low as -200 degrees (Fahrenheit) for a period of three minutes and a half or less. When exposed to this temperature, it activates the body's response to extreme cold. The skin responds by increasing collagen production, regaining elasticity, and vasoconstriction to keep the core temperature even. After the procedure, vasodilation occurs resulting in a systemic flush of toxins and stored deposits. This treatment, with regular use, can aid in decreasing inflammation and improving chronic skin conditions Safety Instructions 1. You must wear the provided ear protection, gloves, socks and slippers or shoes in the chamber. 2. You must be completely dry before beginning treatment Towels can be provided. 3. Abnormal skin sensitivity to cold can be caused by certain foods, medications or cosmetics; if you are using any of these contact a physician prior to use (Including, but not limited to, high blood pressure medications and tranquilizers) 4. Treatments will be limited to no more than 3.5 minutes to avoid overexposure. 5. You may end the procedure at any time you desire by pushing the door open.

LIABILITY AND MEDICAL RELEASE AND INDEMNIFICATION AGREEMENT

In consideration of being permitted by NextGen Cryo, Inc dba GoCryo, Inc to participate in their services, I hereby waive any and all claims and damages for personal injury or death which may occur as a result of my participation. I understand and agree that: This release is intended to discharge in advance NextGen Cryo, Inc dba GoCryo, Incits officers, officials, employees, agents and volunteers from and against all liability arising out of or connected in any way with my participation in these activities; 1. Participation may involve risk of serious injury, illness, disability or death and may result not only as a result of my actions, negligence or inaction, but also from the action, negligence or inaction of others, including their owners, officers officials employees, or volunteers and may result from the conditions of the facilities, equipment, or areas where such activities are being conducted; 2. Knowing the risks involved and the contraindications related, I nevertheless chose voluntarily to request permission to participate; 3. I will indemnify and hold harmless NextGen Cryo, Inc dba GoCryo, Inc its owners, officers, officials, employees and volunteers from any loss, liability, damage, cost or expense, including litigation of any form, arising out of or connected in any manner with my participation in such activities; 4. I am in good health and have no physical condition expressed in the "Contraindications or otherwise which would preclude me from safely participating in such activities; 5. I hereby confirm that no warranty or guarantee, or other assurance has been made to me covering the results of the cryotherapy process. I have been explained and understand the administration of the process, including possible adverse reactions, side effects, or other possible complications. It is understood that this CONSENT is being given in advance of any administration of the process, and is being given by me voluntarily to use the Equipment. 6. I understand and agree that this release is intended to be as broad and inclusive as permitted under the law of the State in which it is executed and that if any portion of this Hold Harmless, Release and Indemnification Agreement should be determined to be invalid, it is my intent that the remaining provisions shall continue in full force and effect. Photograph & Video Release I hereby grant permission to NextGen Cryo, Inc dba GoCryo, Inc the rights of my image, likeness and sound of my voice as recorded on audio or video tape without paymentor any other consideration. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public setting. There is no

time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only. By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for promotional purposes.

Parent/Guardian Consent for a Minor's Participation I have completely read and understand each and every provision of the Contraindications/Waiver/Hold Harmless/Indemnification conditions. I have reviewed my minor's response to the above provisions of the Contraindications/Waiver/Hold Harmless/Indemnification conditions. Ihereby give my full Parental or Guardian consent and permission for my minor child (signed above) to participate in Whole Body Cryotherapy sessions. I understand that the cryotherapy treatment consists of spending a short period of time in an extremely cold environment and that my child is free to exit the chamber at any time they choose if they feel at all uncomfortable. I further understand that because of the extreme cold and the size of the Cryotherapy Chamber, my child may experience symptoms of Claustrophobia, Hyperventilation, skin irritation (including frostbite), and cold bum. I/We acknowledge that participation in this process is completely voluntary and at My/Our request. I have read this form and the process has been explained thoroughly to me. I have been given the opportunity to ask questions and my questions have been answered to my satisfaction.