I hereby state that I am at least 18 years of age and have read, understand, and agree to this Release Statement, that it is an informed release and that I intend to be legally bound to it.
>> I am not pregnant
>> I do not have a pacemaker, cochlear implant, or other battery operated implanted stimulator
>> I have not had an organ transplant
>> I am not currently undergoing any cancer related treatments
>> I have removed any car keys, credit cards, cell phones, or watches
>> I agree to be fully responsible for any damages if I forget to do this
>> I agree that no one has made any representations or claims to me of any treatment or cure of any disease or condition; or any promise of any specific or general results of any kind.
I release from all general, medical, and any other liability or claims of any kind; and I indemnify and hold harmless the Aura and/or MagnaWave magnetic pulse generator, the manufacturer, distributor, dealer, and any of their employees or agents from any claim arising from or related to my use of a magnetic pulse generator.
I grant media release permission for my likeness or image to be used in a variety of media, including photographs, videos, and audio recordings. I waive any right to compensation for the use of their image or likeness. I also waive my right to inspect or approve how my image or likeness is used.
By submitting this form, I agree to the terms listed on the session and media release waiver. Lastly, I am opting in to receiving promotional and/or follow up text messages.