Compression Therapy Liability Waiver
By signing this waiver form, I acknowledge and confirm the following:
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I confirm that I do not have any of the contraindications listed above.
In consideration for using the NormaTec Recovery System I hereby RELEASE, WAIVE, DISCHARGE, and HOLD HARMLESS MindSpa901 LLC, its owner and employees from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, that may be sustained by any person, while using the equipment or due to the use of the equipment at HighTee.
I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate, and complete consideration fully intending to be bound by same.
I agree that I will comply with all instructions on the use of the Equipment and that I am using these services at my own risk.
I give my consent for photographs of me using the provided service to be used for marketing purposes.
I have read this whole document and I accept the terms indicated above.
Client's Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Format: (000) 000-0000.
Date Signed
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Month
-
Day
Year
Date
Client's Signature
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Print Form
Submit
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