PellRadiant Skin Health Laser Hair Removal Membership Service Agreement
Owned and Operated by PELLRADIANT SKIN HEALTH, LLC
Membership Service Agreement And Terms
Client agrees to the following terms.
Monthly rate of either (chosen at the end of the form):
$160.00 per month for Unlimited Hair Removal sessions for 6 months.
Your first payment will be drafted upon completion and submission of this form. subsequent payments will be drafted monthly on the anniversay of the submission date.
Your package will auto renew on the one year anniversary date of agreement.
The Membership Service and Release of Liability Agreement (the “Agreement”) is between PellRadiant Skin Health and you, the Client (individually, if you are the Client, and/or as agents or guardian of the Client). It is agreed between PellRadiant Skin Health and the Client that Client is purchasing, for the benefit of the Client, a laser hair removal membership, from PellRadiant Skin Health according to the terms below.
PellRadiant Skin Health Request and Authorization: Client chooses to furnish a Credit or Debit card for merchandise purchased at PellRadiant Skin Health, LLC facility, Client hereby authorizes PellRadiant Skin Health or its assigns to make periodic charges or withdrawals (“PellRadiant Skin Health Authorization”) from such account or replacement account designated by Client and accepted by PellRadiant Skin Health for payment of any and all fees, late charges, costs, expenses or any other monies due to PellRadiant Skin Health under the terms and conditions of this Agreement. Client understands that Client is entitled to notice of all varying charges and withdrawals under the PellRadiant Skin Health, but Client waives the right to receive prior notice for charges or withdrawals made with respect to any uncollected payments or portions of the balance due described above and the corresponding service charges, both of which Client agrees are not varying charges or withdrawals. Client may change the account designated herein upon ten (30) days written notice to, and approved by, PellRadiant Skin Health. Client may timely notify the financial institution in control of Client’s account to terminate this Request, by such notification will constitute a default and may cause all sums under this Agreement to be due and payable immediately together with all costs of collection to extent permitted by law.
IMPORTANT NOTE: Client, by agreeing to partake in PellRadiant Skin Health / Laser hair removal Program service and related activities, agrees to release PellRadiant Skin Health from liability due to participation. By signing this Agreement, Client acknowledges that Client has read, understood and agrees with all terms and conditions of this agreement. This Agreement constitutes the entire agreement of the parties and no other agreement or understanding exists between Client and PellRadiant Skin Health. PellRadiant Skin Health has made no express or implied warranties or misrepresentations other than those expressly set forth in this Agreement to induce Client to enter into this Agreement.
I hereby authorize PellRadiant Skin Health to perform laser hair reduction with the Venus Versa IPL on me.
I have been informed that Laser Hair Removal is a procedure by which hair from the body can be removed utilizing the Venus Versa IPL. Laser hair removal involves matching laser light and pulse duration to the follicle size, depth and location to inhibit the re-growth of the removed hair. A technician will distribute the light of an IPL HR69xl onto the skin to perform Laser Hair Removal. The laser works by disabling the hairs that are in their active cycles at the time of the treatment. I understand that I will have to wear protective eyeglasses during the course of the treatment to protect my eyes from the laser light.
I am aware that the laser treatment can produce, but is not limited to the following common side effects: redness, swelling, welting, itching, tingling, and dry skin. I understand that these side effects usually last from 2 hours to a couple of days. I understand there are risks and complications that can occur from a laser treatment that can interrupt my daily life, work routine or social life. These may include but are not limited to: burning scab formation, heat rash, bruising, scarring, infection, hypopigmentation (lighter skin), and hyperpigmentation (darker skin). If any of these were to occur, I understand a physician is available to see me and provide post treatment guidelines to speed my recovery time. If I choose to consult my own physician or seek any other medical attention it is at my own expense.
For best results, I have been informed that multiple treatments will be needed. For most areas 6 treatments are necessary to achieve desired hair clearance. I understand that more than 6 treatments may be needed depending on hair type, previous methods of hair removal and skin color. I understand results are not guaranteed. Some of the factors that could trigger new hair growth are hormonal imbalance, pregnancy, medications, menopause, tweezing, or waxing.
I understand that tanning during the course of my laser treatments is not recommended and can cause a number of complications. I understand that I should avoid direct sun exposure for 2 weeks after my laser treatment, this also includes tanning beds. I have been informed to use a sunblock with an SPF of 30 or higher on the treated area during the course of the laser treatments. I understand it is my responsibility to inform PellRadiant Skin Health if my skin is any darker than when treatment first started.
I understand post-treatment care is very important after the treatments and I will adhere to all the instructions given to me. Improper care to the treated area may increase the chances of any complications.
I consent to having photographs taken during the course of my laser treatments to be retained as part of my file maintained
by PELLRADIANT SKIN HELATH. I understand all photographs are the property of PELLRADIANT SKIN HELATH, and are kept confidential.
I have read and understood all information presented to me before signing this consent. I have had ample opportunity to ask questions regarding laser hair reduction, side effects and after care. I also understand it is my responsibility to inform PELLRADIANT SKIN HELATH of any medical or prescription changes.
REFUNDS: No refunds shall be made for services purchased, except as specifically provided in the Agreement.
RENEWAL: Unless otherwise indicated by the client in writing 30 days prior to the end of the original contract, the membership will auto renew at the
conclusion of the agreement for a period of twelve (12) months at the then current rate for the same or comparable package.
PAYMENT & BILLING: Monthly payment by credit card or PellRadiant Skin Health per the guidelines on page one of the Agreement. The month the Agreement is signed shall be the billing date for the Client. Each month on this day, the monthly payment is charged to the Client’s credit card, or deducted from the Client’s account.
CLIENT’S RIGHT TO CANCEL: The Client MAY NOT terminate or cancel the Agreement within 90 days of the signature of the agreement. The first three payments are considered a non refundable deposit. After the 90 day period is up, the Client may not terminate or cancel the Agreement except as follows: (1) If by reason of death or disability, Client is unable to receive all PellRadiant Skin Health services for which Client has contracted, Client and Client’s estate shall be relieved from the obligation of making payment for services other than those received or obligated prior to death or the onset of disability (subject to signed doctor’s note regarding the nature of the disability); and (2) In the event the Client moves further than 25 miles from PellRadiant Skin Health, Client may terminate this agreement by supplying proof of new residence. (3) You are permitted to cancel this contract until midnight of the 3rd operating day after the date on which you signed the contract. If the facilities or services that are described in the contract are not available at the time you sign the contract, you have until midnight of the 3rd operating day after the day on which you received notice of their availability, to cancel the contract. If within this time period you decide you want to cancel this contract, you must do so by notifying PellRadiant Skin Health by any writing mailed or delivered to PellRadiant Skin Health at the address shown on the contract, within the previously described time period. If you do so cancel, any payments made by you, less a user fee of a prorated amount per day of actual use based on your contract price, will be refunded within 21 days of notice of cancellation is delivered, and any evidence of indebtedness executed by you will be cancelled by PellRadiant Skin Health and arrangements will be made to relieve you of any further obligation to pay the same. (4) PellRadiant Skin Health moves more than 5 miles from the location in this contract or goes out of business and fails to provide facilities within 5 miles of the location in this contract, upon written notice from the client, with refunds of such funds paid on a prorated basis as necessary.
CLIENT’S ACKNOWLEDGEMENT AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY OF PellRadiant Skin Health. CLIENT WILL BE REQUIRED TO SIGN A WAIVER PRIOR TO STARTING GROUP TRAINING.
CLIENT’S DEFAULT: Client shall be deemed in default of this Agreement upon the failure to comply with any of the terms and conditions of the Agreement, including, but not limited to, the obligation to make any payment as and when due. Upon default, PellRadiant Skin Health shall have all rights and remedies available, including termination of this Agreement and institution of an action for all applicable damages. If PellRadiant Skin Health delays or refrains from providing service any rights under this Agreement, PellRadiant Skin Health does not waive, nor will PellRadiant Skin Health lose those rights. If PellRadiant Skin Health accepts late or partial payments from the Client, PellRadiant Skin Health does not waive the right to receive full and timely payments and other charges due under this Agreement.
The Parties hereby agree that this Agreement may be signed and conducted by electronic means, including but not limited to accepting electronic signatures as signatures and accepting electronic records for the formation of this contract.
ATTORNEY FEES: In the event either party finds it necessary to commence litigation or other court action to enforce the terms and conditions of this Agreement, the prevailing party in such litigation or court action shall be entitled to receive their actual attorney’s fees incurred, together with court costs, and other charges from the other party as a part of any ruling or judgment.