ALL ACCESS FLEX CONSENT WAIVER

OasisPlus Therapies

At OasisPlus Therapies, we offer a wide range of services to aid in the well-being of our clients. We want you to be safe while using our services. Please review this waiver carefully, for when you sign it, you consent that you are able and willing to use any of the services we offer, including cryotherapy, UV & spray tanning, compression therapy, infrared sauna, red light therapy, and massage. Chiropractic, IV Therapy, IM Injections, & Hyperbaric services require a separate Health History & Consent Form to be filled out prior to use.

Cryotherapy

Contraindications:

Do not use Whole Body Cryotherapy if you have any of the following conditions:

Uncontrolled high blood pressure
Any heart conditions including:
- Acute or recent heart attack
- Chronic heart failure
- Pacemaker
- Arrhythmia
Chronic vascular disease
Peripheral artery disease
History of blood clots
Symptomatic lung disorders
Tumor disease
Bleeding disorders
Severe Anemia
Infection
Fever
Acute kidney and urinary tract diseases
Seizure disorder
Open sores
Raynaud's Syndrome
Nerve pain in feet or legs
Pregnancy
Cold Allergy
Superficial metal implants (hip and knee are ok)
Under 12 years of age. (parental signature required for ages 12-17 yrs)
Cancer (current chemotherapy)

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

BY ACCEPTING THIS AGREEMENT, YOU CONFIRM TO OASISPLUS THERAPIES (THE "COMPANY") FOR THE BENEFIT OF THE RELEASED PARTIES (AS LATER DEFINED) THAT YOU HAVE CAREFULLY READ ALL PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, VOLUNTARILY AGREE TO EACH OF ITS TERMS AND PROVISIONS, AND SIGN OF YOUR OWN FREE WILL.

Agreements:

Follow all instructions given to you by the attendant. Do not use whole body cryotherapy without an attendant present.
Participation in a whole-body cryotherapy session involves exposure to extreme cold temperature for a short period of time (not to exceed three (3) minutes per session). Your clothing and skin must be dry. By signing this Agreement, you confirm that you are in good health and do not have any of the contraindications identified above or other physical condition that would preclude you from safely using whole body cryotherapy.
If you experience any pain or mental or physical discomfort at any time during the process, you may terminate the session immediately. The chamber will not be locked, and you are free to walk out of the chamber at any time by pushing on the door or alerting the attendant. You agree that you have familiarized yourself with this exit process and are prepared to do so if or when you feel it is necessary.
No representations or claims are made as to the therapeutic nature or other benefits of whole-body cryotherapy. Whole body cryotherapy is not intended to diagnose, treat, cure, or prevent diseases, illnesses, imbalances, or disorders. No results from whole body cryotherapy are assured. Every customer is different and responds differently to the therapy.

Waiver and Release:

This is a release of liability and a waiver of certain legal rights.
By signing this Agreement you:
1. Acknowledge that use of whole-body cryotherapy involves risk of bodily injury, illness, disability, or death, which may be compounded by negligent emergency response of the attendant or inadequate ventilation of the room in which the equipment is operated. You acknowledge that you are voluntarily participating in whole body cryotherapy with knowledge of the dangers involved and accept and assume all risks of injury, illness, disability, or death, whether caused by the condition of the facilities or equipment or the negligence of the attendant or otherwise. You acknowledge that frostbite is a specific risk that you assume.
2. Expressly waive and release any and all claims against Company and their respective officers, directors, employees, agents, affiliates, successors and assigns (which are collectively referred to as “the Released Parties”), arising out of or attributable to your use of whole-body cryotherapy. You covenant not to assert any such claims against the Released Parties, and forever release and discharge the Released Parties from liability for such claims.
3. Indemnify and hold harmless the Released Parties from any loss, liability, damage, cost, or expense arising out of or connected in any manner with your use of whole-body cryotherapy.
4. Agree that this waiver and release is intended to be as broad and inclusive as permitted under law. You specifically acknowledge and agree that this Agreement is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state law and additionally agree to waive all general release limitations provided by applicable law.

General Provisions:

This Agreement shall be construed and interpreted as broadly as possible under the applicable law of the jurisdiction in which you use whole body cryotherapy, with the words, terms, provisions, covenants, and remedies contained in this Agreement to be enforceable to the fullest extent permitted by applicable law.
If any portion of this Agreement is held invalid, the remainder shall not be affected and shall continue in full legal force and effect.
The terms of this Agreement shall continue from this date forever and shall apply to each use by you of whole-body cryotherapy without the need for you to re-execute this Agreement.
This document constitutes the entire agreement regarding your use of whole-body cryotherapy and any product, services or equipment connected with the Released Parties and supersedes all prior discussions, agreements and representations about the use, benefits, or risks of whole-body cryotherapy. This Agreement may only be modified in a writing signed by you and an authorized representative of the Company.

UV Tanning

Tanning Health Risk Warning Notice

Ultraviolet Light (UV) or Radiation (UVR)UVC (180 – 290 nm) has the shortest waves, highest energy, and is normally blocked by the ozone layer. It is used to kill bacteria and is often called ‘germicidal’.UVB (290 – 320 nm), commonly known as the erythemal UV, is the most responsible region for sunburn, tanning and skin cancer. It is responsible for stimulating increased melanin production. It is also the band that converts ergosterol in the skin to vitamin D. UVA (320 – 400 nm) is the largest contributor of UV in sunlight and tanning bed spectra. It is responsible for ‘immediate’ tanning, by activating melanin pigment granules already present in the upper skin cells. It penetrates deeper into skin than UVB. It is also called ‘Black light’.

Tanning Lamps

Low pressure fluorescent lamps range from 80 to 160 watts. They are either 5 or 6 feet in length. Their output generally exceeds the sun’s natural intensity by 2 to 5 times.High pressure (HP) lamps, or High Intensity Discharge (HID) lamps, ranges from 400 to 30,000 watts. Their size is small, averaging from 5 to 8 inches in length. Their output generally exceeds the sun’s natural intensity by 20 to 100 times.HP lamps require a filter glass, commonly known as “blue glass” to contain the output of the UVC spectrum. This filter glass must be present in order to operate, or severe burning will occur.

Protective Eye Wear

The eyelid is too thin to be able to protect the eye from UVR penetration and simply closing eyes is not sufficient to prevent possible eye damage. The goggle should fit snugly around the eyeball. If a patron can see out of the sides of the goggle or notices light coming in, they need another pair. Each tanning device user must follow manufactures eye wear recommendations.There are many eye diseases and syndromes caused by exposure to UVR including:

Retinal Burns - Produce scarring in the rods and cones of the eye, which will reduce both visual acuity and sensitivity to color. It is caused by UVA rays. Color vision loss is permanent.
Photokeratitis or corneal (lens) sunburn - The symptoms include pain in the eyes, the feeling of sand in the eye, blurry white vision. The reaction can take up to 48 hours to happen. It is caused by UVB rays. It is not usually permanent.
Brunescent Cataracts - Clouding or pigmentation of the lens within the eye. They are slow to develop, usually occurring over a matter of years, but they are permanent. The clouding affects night vision and also can alter perception of color. It is caused by unprotected overexposure of the eyes to UVR. Cataract surgery is the only known cure.
Ptyerguims - Growth of tissue on the whites of the eyes that can block vision. It can be removed, but often grows back.
Macular Degeneration - Reduces vision and often requires surgery.Cancers around the eye.

UV Exposure and Frequent Tanning

An exposure schedule is designed to allow a patron to gradually build a tan (usually six to 10 sessions following the manufacturer’s exposure schedule), while minimizing the risk of erythema. The schedule is based on: the skin type of the individual patron; the output of lamps in the tanning unit; the patron’s recent exposure; and, gradual increases to the session time.Since the benefits of sunlight cannot be separated from its damaging effects, it is important to understand the risks of UV exposure, and take simple precautions to protect yourself. UV damage is cumulative and may result in negative health effects including:o eye and skin injury;o allergic reactions;o a possible adverse effect on some viral conditions or medical conditions, such as lupus;o increased risks of developing skin: photoaging, dryness, thinning, and wrinkling;o an increased risk of skin cancer (sometimes fatal).· The following factors increase an individual’s susceptibility to skin cancer: a family history of skin cancer; Skin Type 1; multiple sunburns; photosensitivity; and, certain types and large numbers of moles.Skin burns are not immediately apparent. Symptoms usually start about 4 hours after exposure, worsen in 24–36 hours, and resolve in 3–5 days. They include red, tender and swollen skin, blistering, headache, fever, nausea, and fatigue.It is recommended to space tanning sessions 48 hours apart to ensure that overexposure does not occur.Skin Type and Skin SensitivitySkin type is determined by a person’s initial response to sun exposure after a long period of no exposure (winter). It remains the same, regardless of tan developing due to further exposures.

Type Skin Reaction and Examples

I.Tans little or not at all; always burns easily and severely;then peels. People most often with fair skin, blue eyes, freckles, and white, unexposed skin.

II.Usually burns easily and severely (painful burn); tans minimally People with fair skin, blue or hazel eyes, blonde or red hair and white, unexposed and lightly; also peels unexposed skin. skin.

III.Burns moderately; gains average tan. Average Caucasian, with white unexposed skin.

IV.Burns minimally; tans easily and above average with each People with light or brown skin, dark-brown hair, and dark eyes, and exposure; exhibits IPD (immediate pigment darkening) reaction. whose unexposed skin is white or light brown (Asians, Hispanics and Mediterraneans).

V.Rarely burns; tans easily and substantially; always exhibits IPD Brown-skinned persons whose unexposed skin is brown (East Indians, Hispanics, reaction. etc.).

VI.Tans profusely, never burns; exhibits IPD reaction. Persons with black skin (Africans and African Americans, Australians and South Indian Aborigines).

Photosensitizing Agents and Drugs

Many medications, topical solutions, and even some foods are photosensitive. Consult a physician before tanning if taking certain medicines, have a history of skin problems, are pregnant or sensitive to sunlight. A representative list of potential photosensitizing drugs and agents can be found online and must be provided with this notice. Several are available: http://www.lookingfit.com/reports/2007/01/sunlight-and-the skin.aspx,http://sun1.awardspace.com/Causes_Photosensitivity/Drugs/Photosensitizing_medications.pdf .PregnancyTanning may be inadvisable during pregnancy. Consult a physician if pregnant. Davis County Health DepartmentFor more information please contact Davis County Environmental Health Services at 801-515-5128I accept that acrylic weight limit restrictions require me to weigh less than 300 lbs to tan in any bed.

ONLY PROFESSIONAL GRADE LOTIONS ALLOWED.

I, the undersigned, understand and will comply with all instructions for proper use of these tanning units. I am using these services at my own risk. I hereby relieve Tanning Oasis and hold them harmless from any liability involved in the use of the tanning process. The salons and their employees are not liable for any injury to person or property or the loss or theft of personal items. I know that this facility does not carry liability insurance for injuries caused by tanning devices. I will not tamper with the tanning device. I am aware that the salon reserves the right to cancel package without reimbursement for customers who are verbally abusive, act in an inappropriate manner, do not adhere to the salon rules, and/or act in a destructive or harmful manner. I understand that packages are sold on a per person basis and are not shareable or transferable. ALL SALES ARE FINAL

Consent

I have read and understand the warnings listed on the operator provided warning notice and understand the increased heath risks of using a tanning device. By signing, I agree that I have read and understand this warning.

Spray Tanning

Before your service today, we want to make certain that you are fully aware of the warnings and potential risks involved. It is essential that you understand and agree with each of the following statements:

Pregnant or nursing women should consult with their physician prior to this session.
The spray tan ingredient DHA (Dihydroxyacetone) has been approved only for external application and should not be inhaled or ingested internally.
The FDA advises that airbrush tan users should avoid inhaling or ingesting DHA or letting the solution get into your eyes. When using products containing DHA, such as an all over spray or mist, it may be difficult to avoid exposure in a manner for which DHA is not approved, including the area(s) of the eyes, lips, or mucous membrane or internally. Therefore, it is recommended that you take protective measures such as the following to eliminate eye contact, inhalation or ingestion during your airbrush tan session:
- Using protective eyewear
- Wearing nose filters
- Sealing lips with lip balm
- Wearing protective undergarments
I understand that I may bring my own protective items or buy/use items that OasisPlus Therapies provides for this purpose.
The tanning solution does not contain sunscreen and does not protect against sunburn. Repeated exposure of unprotected skin to the sun, even if you do not burn, may increase the risk of skin aging, skin cancer, and other harmful effects to the skin.
The bronzing and tanning solutions used during your session have the potential to stain clothing. OasisPlus Therapies is not responsible for potential stains to clothing or upholstery. Please use caution.
Some individuals in certain circumstances may be allergic to one or more ingredients in the tanning solution. In such a case, please discontinue use immediately and consult a physician.
Be advised that a small percentage of people have skin that does not react favorably to spray tanning. For this reason, we DO NOT ADVISE being sprayed for the first time when your appearance is critical (prior to a wedding, special occasion, photographic session, modeling assignment, etc.)

I agree to hold OasisPlus Therapies and its employees harmless of any and all liability for medical complications (pregnancy related or not) that may arise from exposure to the tanning solution. I understand the warnings and limitations of the spray tan process and therefore give my consent.

Sunlighten Sauna

Full Spectrum Infrared Sauna Therapy is an outstanding treatment modality and relaxation therapy for a great many people. There are, however, some people who should not use a sauna at all and others who should use it with caution. The following list helps you identify any considerations specific to you and requests you acknowledge and accept the risks inherent in the

use of the sauna.

Contraindications that would prevent you from using the sauna:

Pregnancy
Fever, infection, or injury
High blood pressure
Heart attack or other cardiovascular problems
History of dizziness, fainting spells, heat sensitivity, narcolepsy or seizures
Bleeding disorders

If you exhibit any of the listed contraindications, it is not recommended that you use the sauna at this time. We suggest that you consult your Primary Health Care Physician to obtain a release form in order to utilize the sauna. In any case, it is recommended that you talk with your doctor before using a sauna.

Cautions

• The use of drugs, medications, or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness.

• No one under the age of 18 is permitted in the sauna unless accompanied by a supervising adult.

• Older patients should consult their physician before using the sauna.

• Discontinue the use of the sauna if you feel light-headed, dizzy or heat exhausted.

Recommendations

• Sauna sessions should be limited to no more than 45 minutes.

• It is always important to maintain proper hydration levels during the session. Dehydration will actually increase carbohydrate utilization and cause less fat to be burned for energy. We highly recommend drinking a minimum of 4 oz. of water prior to entering the sauna and a minimum of 8 oz. of water after sauna use. Water is the only drink/food permitted in the sauna.

• Please consult your physician if you are in doubt regarding your ability to use the sauna for health reasons.

I acknowledge and accept the risks inherent in the use of the sauna. I voluntarily assume the risk of injury, accident or death, which may arise from the use of the sauna. I and any of my heirs, executors, representatives or assigns hereby release from all claims or liabilities for personal injury or property damages of any kind sustained while on the premises, during the use of the sauna and from any advice provided by an employee, independent contractor or any representative. I agree that this Application and Waiver is in effect for all sauna sessions and will not expire unless requested by either party. OasisPlus Therapies, and its representatives, does not provide medical advice or treatment. Sauna use may or may not be appropriate for you. Please consult your health care provider for medical advice. The information provided is for general information purposes only and does not address individual circumstances or medical conditions. Do not attempt to self-treat any disease with a sauna.

Red Light Therapy

Always wear protective eyewear. Failure to wear protective eyewear may result in burns or long-term injury to the eyes. I am responsible for any eye damage that may occur as a result of using red light therapy, should I choose not to wear protective eyewear during a red light therapy session.
You should prepare your skin for your session prior to your arrival. For optimal results, skin should be free of deodorant, makeup, fragrances, oils, and lotions. Remove jewelry.
Certain medications or cosmetics may increase your sensitivity to the Red Light Therapy.
For optimal results recommended red light therapy schedules are 1-3 days per week, for 4-12 weeks.
I am over 18 years of age, or under 18 with permission of my parent/legal guardian.
I understand that Red Light Therapy should not be administered to people with the following conditions, and I do not have any of these conditions.
- Persons diagnosed with basal cell carcinoma
- Pregnancy
- Epilepsy
- Thyroid Condition
- Taking medications that cause sensitivity to light (example: tetracycline)
- Broken or inflamed areas of the skin.

I understand that Red Light Therapy is not intended to take the place of medical care or medications. To my knowledge, I have no medical condition which would prohibit me from using Red Light Therapy. I acknowledge that the results of Red Light Therapy do vary, and that no guarantees of specific results are offered or implied. I have been given adequate instructions for the proper use of the equipment, understand the risks involved, and use it at my own risk. I hereby agree to release the owners, operators, and manufacturers from any damages that I might incur due to the use of this facility.

Most clients will continue to see improvements over weeks post initial sessions. As with any Red Light Therapy, individual results will vary from person to person and no guarantees can be made that expected or anticipated results will be achieved. I am aware that follow-up treatment(s) may be necessary for desired results. Most patients require a number of treatment sessions over several weeks with gradual results occurring over time.

Risks and Side Effects:

Red Light Therapy treatments are non-invasive and are intended not to produce any thermal damage or pain. Even though appropriate measures are taken to reduce side effects, they cannot be completely eliminated in every case. It is important to notify the treatment facility if you have any problems or concerns such as uncomfortable heat from the pad or panel, prolonged redness of the skin, swelling, itching or severe headaches during or after the treatment. These are all indications of sensitivity to light. These side effects rarely occur and usually subside within 24 hours of discontinuing the treatment. I understand the treatment may involve risks of complication or injury from both known and unknown causes, and I freely assume these risks. Alternative treatment choices are available. With this in mind, I am choosing this non-invasive treatment option.

If you have/had or use any of the following then you are not a candidate for red light therapy treatments. Photophobia, Porphyria, Lupus Erythematosus, Exogenous Eczema, Eye Disease/Retinal Abnormalities, Epilepsy and Seizures, Hypomelanism (albinism), Heart Trouble/Pacemaker, Pregnant, Infectious or Contagious conditions.

*Please carefully look over the following list of medications and check off any you have taken in the past 7 days. These medications have been known to cause light sensitivity.

Anti-Arrhythmic Amiodarone (Pacerone® Cordarone® Aratac®)
Chlorpromazine (Thorazine®, Chloramead®, Chlordryprom®, Chlor® Promanyl®, Largactil®, Promapar®, Promosol®, Terpium®, Sonazine®)
Acne Oral Isotretinoin (Accutane®, Accure®, Aknenormin®, Amnesteem®, Ciscutan®, Claravis®, Isohexal®, Isotroin®, Oratane®, Sotret®, Roaccutane®)
Topical Isotretinoin (Isotrex®, Isotrexin®)
Anti-Psychotic Haloperidol (Haldol®)
Trifluoperazine (Stelazine®, Clnazine®, Novoflurazine®, Pentazine®, Solazine®, Terfluzine®, Triflurin®, Tripazine®)
Anti-Fungal Griseofulvin (Grifulvin®)
Antibiotics Tetracycline (Helidac®, Terra-Cortril®, Terramycin®, Sumycin®, Actisite®, Bristacycline®, Actisite®, Tetrex®, Doxycycline®, Ciprofloxacin®)
Norfloxacin (Noroxin®, Quinabic®, Janacin®)
Ofloxacin (floxin®, Oxaldin®, Tarivid®)
Nalidixic acid (NegGam®, Wintomylon®)
Ciprofloxacin (Cipro®, Ciproxin®, Ciprobay®)
Minocycline (Minomycin®, Minocin®, Arestin®, Akamin®, Aknemin®, Solodyn®, Dynacin®, Sebomin®)
Oxytetracycline
Demeclocycline
Lymecycline
Cancer Methotrexate (MTX®, Aminopterin®, Ledertrexate®)
Arthritis Auranofin (Ridaura®)

The above drugs are currently the most common medications associated with photosensitivity and are by no means a complete list of all photosensitive medications. Herbs and over the counter medications such as psoralen and St. John's Wort can also cause sensitivity to light, so it is important to disclose any and all medications or herbs you are currently taking.

Financial Policy for Red Light Therapy

I understand and agree that all services rendered to me will be charged to me, and I'm responsible for timely payment of such services.
No refunds will be given for treatments/service received.
I understand that a no-show fee will be charged for any red light appointments that I am not present for.
All sales final on purchases of goods.

I agree to adhere to any and all safety precautions and regulations during the treatment. I understand that compliance with recommended pre and post procedure guidelines are critical in determining the effectiveness of the treatment sessions. The nature and purpose of the sessions has been explained to me. I have carefully read and understand this agreement and fully understand its contents. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I understand the treatment may involve risks of complication or injury from both known and unknown causes, and I freely assume these risks.

I authorize OasisPlus Therapies to perform Red Light Therapy treatments on me. I release OasisPlus Therapies from liability associated with this procedure. I certify that I am a competent adult of at least 18 years of age and sign this at my own free will, or that I am under the age of 18 with the express permission of my parent/legal guardian.

Compression Therapy

Compression therapy is a non-invasive modality proven to increase circulation and range of motion, reduce pain and soreness, boost pressure to pain threshold and clear lactate and metabolites from the limbs after physical activity. This modality pairs compression with a sophisticated massage pattern, employing three key forms of biomimicry, including

pulsing, gradients, and distal release.

The pulsing action uses dynamic compression, effectively mimicking the muscle pump of the legs and arms, to greatly enhance the movement of fluid and metabolites out of the limbs.
Hold pressures are used, similar to the one-way valves of veins and lymphatic vessels, to prevent fluid backflow, and enhance the natural circulatory flow.
The distal release feature releases hold pressures once they are no longer needed, ensuring that each portion of the limb gains maximal rest time without a significant pause between compression cycles

Once you are set up on the devices, you will first experience a pre-inflate cycle, during which the attachments fill with air to calibrate and mold to their exact body shape. The session will then begin by compressing your feet or hands (depending on which attachment you are using). Similar to the kneading and stroking done during a massage, each segment of the attachment will first compress in a pulsing manner and then release. This will repeat for each segment of the attachment as the compression pattern works its way up the limb. This stimulates blood flow, massages the muscles, and works in harmony with the body’s circulatory system to mobilize fluid out of the extremities and back up towards the heart.

Do you currently have any open wounds, contusions or abrasions?
Are you recovering from a recent surgery and have sutures or stitches?
Are you suffering from severe atherosclerosis, acute deep vein thrombosis, or other ischemic vascular diseases?
Are you suffering of congestive cardiac failure?
Do you have an existing pulmonary embolism or pulmonary edema?
Do you have a local skin condition such as gangrene, untreated or infected wounds, recent skin graft or dermatitis?
Have you been diagnosed with lymphangiosarcoma?

If you answer YES to any of these questions, you will need to discuss details of your condition with your clinician prior to receiving treatment.

Massage

By signing below, you agree to the following:

I give permission to receive massage therapy.
I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.
I understand that the massage therapist does not diagnose illnesses or injuries, or prescribe medications.
I have clearance from my physician to receive massage therapy.
I understand that the risks associated with massage therapy include, but are not limited to:
- Superficial bruising
- Short-term muscle soreness
- Exacerbation of undiscovered injury
- I therefore release the company and the individual massage therapist from all liability concerning these injuries that may occur during the massage session.
I understand the importance of informing my massage therapist of all medical conditions and medications I am taking, and to let the massage therapist know about any changes to these. I understand that here may be additional risks based on my physical condition.
I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the massage session so he/she may adjust accordingly.
I understand that I or the massage therapist may terminate the session at any time.
I have been given a chance to ask questions about the massage therapy session and my questions have been answered.
I agree to allow my feedback to be used for promotional purposes.

We appreciate that you’ve chosen OasisPlus Therapies for your massage and bodywork needs. To provide the best service possible to our clients, we have implemented the following policies:

Cancellation Policy

We respectfully ask that you provide us with 24 hour notice of any schedule changes or cancellation requests. Please understand that when you cancel or miss your appointment without providing a 24 hour notice, we are often unable to fill that appointment time. This is an inconvenience to your therapist and also means our other clients miss the chance to receive services they need. For this reason, you will be charged 50% of the service fee for the first missed session and 100% of the service fee for each session after that, but keep in mind, you will still receive a FREE "Plus" Service! We also reserve the right to require a credit card number to be given to book future appointments so that appropriate fees may be charged if a late cancellation does occur.

We understand that emergencies can arise, and that illnesses do occur at inopportune times. If you have a fever, a known infection, or have experienced vomiting or diarrhea within 24 hours prior to your appointment time, we request that you cancel your session. Inclement weather may also result in the need for late cancellations. We will do our best to give advanced notice if we are closing or need to cancel due to bad weather and we ask you to do the same. Please do not risk your own safety trying to make your appointment. Late cancellation due to emergency, illness, or inclement weather will generally not result in any missed session charges, but this is determined on a case-by-case basis.

Late Arrival Policy

We request that you arrive 5-10 minutes prior to your appointment time to allow time to fill out any required paperwork, as well as answer any intake questions your therapist may have. We understand that issues can arise that may cause you to be late for your appointment. However, we ask that you call to inform us if this ever occurs so we can do our best to accommodate you. Appointment times are reserved for each client, so oftentimes we cannot exceed that reserved time without making the next client late. For this reason, arriving after your appointment time may result in loss of time from your massage so that your session ends at the scheduled time. Full service fees will be charged even when sessions are shortened due to late arrival. In return we will do our best to be on time, and if we are unable to do so, we will add time to your session to make up for our late arrival or adjust the service charge accordingly.

Inappropriate Behavior Policy

Massage therapy is for relaxation and therapeutic purposes only. There is absolutely no sexual component to massage whatsoever. Any insinuation, joke, gesture, conversation, or request otherwise will result in immediate termination of your session and a refusal of any and all services in the future. You will be charged the full service fee regardless of the length of your session. Depending on the behavior exhibited, we may also file a report with the local authorities if necessary. Treat your therapist with respect and dignity and you will be treated the same in return.

By signing below, I agree that I have reviewed the waivers, contraindications, and policies associated with the following services:

UV & Spray Tanning
Compression Therapy
Red Light Therapy
Cryotherapy
Massage Therapy
Full Spectrum Infrared Sauna

I consent to abide by the waivers and policies stated herein. I understand that there is a separate waiver that I must sign in order to receive Chiropractic Care, IV Drip Therapy, IM Injections, or Hyperbaric Oxygen Therapy services.

Name of Adult Participant and/or Parent or Legal Guardian of Minor:

First Name:	Last Name:	Birth Date:
Address:	City:	State:
Zip:	Email:	Phone:

Relationship to minor:

Full Name and Birth Date of family members under the age of 18

#1	First Name:	Last Name:	Birth Date:
#2	First Name:	Last Name:	Birth Date:
#3	First Name:	Last Name:	Birth Date:
#4	First Name:	Last Name:	Birth Date:
#5	First Name:	Last Name:	Birth Date:
#6	First Name:	Last Name:	Birth Date:
#7	First Name:	Last Name:	Birth Date:
#8	First Name:	Last Name:	Birth Date:
#9	First Name:	Last Name:	Birth Date:
#10	First Name:	Last Name:	Birth Date:

Put Your Legal Signature Below

Clear

Date and Time Signed:

By checking this box I agree to have read and agree to the legal agreement above.

Send me emails about Account Management, Reminders, and Schedule Changes

Send a copy of this waiver to my email

Our Privacy Policy

PLEASE NOTE THAT WAIVERKING, INC.’S (“WaiverKing”) PRIVACY POLICY HAS CHANGED EFFECTIVE May 25th, 2018.

You acknowledge that this privacy policy is a part of our website’s Terms of Service, and by accessing or using our website, you agree to be bound by all of its terms and conditions. IF YOU DO NOT AGREE TO THESE TERMS, AS UPDATED, PLEASE IMMEDIATELY STOP ACCESSING THE WEBSITE.

This document explains how we use your personal data.

When you sign up to use this service provider’s services, you do so through software provided by us, WaiverKing.

We are committed to ensuring the privacy of all users of our software and services and other visitors to our website. In this policy we explain how we hold, process and retain your personal data.

In respect to the account data, waiver data, and payment data (as defined below) that you provide to us, we are acting as a data processor on behalf of the service provider, who will be acting as the data controller in respect to such data. We will never store or control this data. You should direct any requests or queries you have regarding this data to the data controller, your service provider.

1. How we use your personal data

1.1. This section provides you with information about:

a) what personal data we hold and process;

b) in respect of personal data that we did not collect from you directly, where we obtained that data from, and what types of data we have collected;

c) the purposes for which we may process your personal data; and

d) the legal grounds on which we process your data.

Members and end users of our services

1.2. Account data. We may process information about you that you provide to us when you first sign up with a service provider ("account data"). This account data may include your name, address, telephone number, email address, date of birth, gender, employment details, and a photograph of you. We may use this data to create your account with the service provider when you sign up. This account data may be updated each time you complete a document through our software. We do not process your account data in any other way, or have access to it in any way.

The legal basis for this processing is our legitimate interests in providing our services to our clients, and ensuring that your account is updated each time that you complete a document through our software.

1.3. Waiver data. If you are using our software in order to sign documents such as a waiver, health form, contract, or questionnaire, we may process information that you put into such documents (“waiver data”). This waiver data may include your name, signature, date of birth, email address, information about your health and medical history, and any other information that you are required or requested to put into the document.

Once you have completed the document, we will process it, convert the document into a different format, and send it to your account with the service provider in order for it to be stored. We will never store your data permanently on our systems (although it may be stored in your account with your service provider).

The purpose for our processing your data in this way is to maintain and administer a complete and accurate record of the documents that you have signed and completed for your service provider. The legal basis for our processing your waiver data (to the extent that such waiver data does not class as a special category of personal data), will be our legitimate interests in providing our services to our clients who have asked you to complete the document in question, in order to ensure that a complete and accurate record of your signing and completing the documents is maintained and administered.

1.4. Sensitive Personal Data. During the course of using our software and services and providing us with information in order for us to provide our services to you, you may provide us with sensitive information about yourself (“sensitive data”). This sensitive data may include your health and medical history. We may use this data for providing our services to you. However, we will only process this sensitive data if you consent to us doing so.

[The consent to use this information needs to be provided by the parent for children under the age of 13. Anyone over the age of 13 can provide consent for use of their data under GDPR]

We comply with the requirements of the Children’s Online Privacy Protection Act. You must be at least 18 years old to have our permission to use the WaiverKing website. If you are between the ages of 13 and 17, or under the age of majority where you live, you represent that your legal guardian has reviewed and agreed to this privacy policy.

Other processing that we may carry out

1.5. Website data. We may process data about your use of our website and services ("website data"). The website data may include your IP address, geographical location, browser type and version, operating system, referral source, length of visit, page views and website navigation paths, as well as information about the timing, frequency and pattern of your service use. The source of the website data is our analytics tracking system. This website data may be processed for the purposes of analyzing the use of the website and services.

The legal basis for this processing is our legitimate interests, namely monitoring and improving our website and services.

We may also process this data for the purposes of diagnosing any issues we detect in relation to the use of our products or services. This data may be collected by our error-tracking software which is provided by Rollbar. We always try to ensure that any such data is anonymized so that you cannot be identified before it is stored in our records.

The legal basis for this processing is our legitimate interests in monitoring and improving our products and services.

1.6. Enquiry data. We may process information contained in any enquiry you submit to us regarding our products or services ("enquiry data"). The enquiry data may be processed for the purposes of offering, marketing and selling relevant products and/or services to you.

The legal basis for this processing is our legitimate interests, namely dealing with and responding to your enquiry appropriately.

1.7. Notification data. We may process information that you provide to us for the purpose of subscribing to our blog and press releases ("notification data"). The notification data may be processed for the purposes of sending you newsletters.

Where you are a corporate customer, the legal basis for this processing is our legitimate interests, namely the marketing of relevant products and services to you.

1.8. Correspondence data. We may process information contained in or relating to any communication that you send to us ("correspondence data"). The correspondence data may include the communication content and metadata associated with the communication. Our website will generate the metadata associated with communications made using the website contact forms. The correspondence data may be processed for the purposes of communicating with you and record-keeping.

The legal basis for this processing is our legitimate interests, namely the proper administration of our website and business and communications with users.

1.9. Payment data. We do not process payment information relating to goods and services that you purchase from the service provider. However, we do capture certain data relating to your payments and use them to update your account with the service provider ("payment data"). The payment data may include your contact details, your card details and the transaction details. The payment data may be processed for the purposes of updating your account with the service provider. The legal basis for this processing is our legitimate interests, namely our interest in the proper administration of our software and ensuring your account with the service provider is updated.

1.10. Other processing activities. In addition to the specific purposes for which we may process your personal data set out above, we may also process any of your personal data where such processing is necessary for compliance with a legal obligation to which we are subject, or in order to protect your vital interests or the vital interests of another natural person.

2. Providing your personal data to others

2.1. To our clients and partner service providers. The only third parties that we will disclose your personal data to are our clients (your service provider) who is the data controller in respect to the account data, waiver data, and payment data that we collect about you, and MINDBODY Inc. (“MINDBODY”), who provide software services to service providers in conjunction with the WaiverKing software. Your accounts are created by WaiverKing in the MINDBODY software on behalf of our clients.

2.2. Our insurers/professional advisers. We may disclose your personal data to our insurers, legal counsel, and/or professional advisers insofar as reasonably necessary for the purposes of obtaining and maintaining insurance coverage, managing risks, obtaining professional advice and managing legal disputes.

2.3. Where we provide your personal data to any third party. Where we share your personal data with any of the third parties referred to above, we will ensure this processing is protected by appropriate safeguards including a suitable data processing agreement with that third party.

2.4. To comply with legal obligations. In addition to the specific disclosures of personal data detailed above, we may also disclose your personal data where such disclosure is necessary for compliance with a legal obligation we have to comply with, or in order to protect your vital interests or the vital interests of another individual. This may include disclosing your personal data in response to lawful requests by public authorities, including to meet national security or law enforcement requirements.

2.5. We take reasonable and appropriate steps to ensure that third-party agents and service providers process your personal data in accordance with our Privacy Shield obligations and to stop and remediate any unauthorized processing. Under certain circumstances and pursuant to applicable laws, we may remain liable for the acts of our third-party agents or service providers who perform services on our behalf for their handling of your personal data that we transfer to them.

3. Transfers of your personal data outside of the European Economic Area

As further detailed below, we may transfer your personal data to our servers based in the US, as we are part of the Privacy Shield. Otherwise, where your personal data is transferred outside of the EEA, we will ensure that either (a) The European Commission has made an "adequacy decision" with respect to the data protection laws of the country to which it is transferred, or (b) we have entered into a suitable data processing agreement with the third party situated in that country to ensure the adequate protection of your data. In all cases, transfers outside of the EEA will be protected by appropriate safeguards.

4. Retaining and deleting personal data

4.1. Personal data that we process for any purpose or purposes shall not be kept for longer than is necessary for that purpose or those purposes. Details about members of our clients (your service provider) and end users of our services, including the account data, waiver data and sensitive personal data, will not be stored by WaiverKing.

4.2. Unless we contact you and obtain your consent for us to retain your personal data for a longer period, we will retain and delete your personal data as follows:

a) Website data will be retained for 12 months following the date of our last contact or dealing with you, at the end of which period it will be deleted from our systems.

b) Enquiry data will be retained for 12 months following the date of our last contact or dealing with you, at the end of which period it will be deleted from our systems.

c) Notification data (other than Notification data that is also Contact data) will be retained for 12 months following the date of our last contact or dealing with you, at the end of which period it will be deleted from our systems.

d) Correspondence data will be retained for 12 months following the date of our last contact or dealing with you, at the end of which period it will be deleted from our systems.

4.3. We may retain your personal data where such retention is advisory and/or necessary for compliance with a legal obligation to which we are subject (such as with regard to applicable statutes of limitations, litigation or regulatory investigations), or in order to protect your vital interests or the vital interests of another natural person.

5. Your rights

5.1. You may instruct us to provide you with any personal information we hold about you; provision of such information will be subject to:

a) your request not being found to be unfounded or excessive, in which case a charge may apply; and

b) the supply of appropriate evidence of your identity (for this purpose, we will usually accept a notarized photocopy of your driver’s license and/or passport and an original copy of a utility bill showing your current address).

5.2. We may withhold personal information that you request to the extent permitted by law.

5.3. You may instruct us at any time not to process your personal information for marketing purposes.

5.4. In practice, you will usually expressly agree in advance to our use of your personal information for marketing purposes, or we will provide you with an opportunity to opt out of the use of your personal information for marketing purposes.

5.5. Your right to access your data. You have the right to ask us to confirm whether or not we process your personal data and, to have access to the personal data, and any additional information. That additional information includes the purposes for which we process your data, the categories of personal data we hold and the recipients of that personal data. You may request a copy of your personal data. The first copy will be provided free of charge, but we may charge a reasonable fee for additional copies.

5.6. Your right to correct. If we hold any inaccurate personal data about you, you have the right to have these inaccuracies corrected. Where necessary for the purposes of the processing, you also have the right to have any incomplete personal data about you completed.

5.7. Your right to erasure. In certain circumstances you have the right to have personal data that we hold about you erased. This will be done without undue delay. These circumstances include the following: (1) it is no longer necessary for us to hold those personal data in relation to the purposes for which they were originally collected or otherwise processed; (2) you withdraw your consent to any processing which requires consent; (3) the processing is for direct marketing purposes; and/or (4) the personal data have been unlawfully processed. However, there are certain general exclusions of the right to erasure, including where processing is necessary: for exercising the right of freedom of expression and information; for compliance with a legal obligation; or for establishing, exercising or defending legal claims.

5.8. Your right to restrict processing. In certain circumstances you have the right for the processing of your personal data to be restricted. These circumstances include the following: (1) you do not think that the personal data we hold about you is accurate; (2) your data is being processed unlawfully, but you do not want your data to be erased; (3) it is no longer necessary for us to hold your personal data for the purposes of our processing, but you still require that personal data in relation to a legal claim; and/or (4)you have objected to processing, and are waiting for that objection to be verified. Where processing has been restricted for one of these reasons, we may continue to store your personal data. However, we will only process it for other reasons: with your consent; in relation to a legal claim; for the protection of the rights of another natural or legal person; or for reasons of important public interest.

5.9. Your right to object to processing. You can object to us processing your personal data where our legal basis for the processing is that it is necessary for: the performance of a task carried out in the public interest, or in the exercise of any official authority vested in us; or the purposes of our legitimate interests or those of a third party. If you make an objection, we will stop processing your personal information unless we are able to: demonstrate compelling legitimate grounds for the processing, and that these legitimate grounds override your interests, rights and freedoms; or the processing is in relation to a legal claim.

5.10. Your right to object to direct marketing. You can object to us processing your personal data for direct marketing purposes. If you make an objection, we will stop processing your personal data for this purpose.

5.11. Your right to data portability. Where you have given us consent to process your personal data, or where we are processing your personal data for the performance of a contract, you have a legal right to receive a copy of the personal data we hold about you in a structured, commonly used and computer readable format. When a data request is made of us we will make available all applicable personal data to you in a computer readable format and will transmit your personal data to the appropriate third party pursuant to your instruction. We will not process your data in this way if we believe that it may pose a threat to the security of the data.

5.12. Your right to object for statistical purposes. You can object to us processing your personal data for statistical purposes on grounds relating to your particular situation, unless the processing is necessary for performing a task carried out for reasons of public interest.

5.13. Automated data processing. To the extent that the legal basis we are relying on for processing your personal data is consent, and where the processing is automated, you are entitled to receive your personal data from us in a structured, commonly used and computer-readable format. However, you may not have this right if it would adversely affect the rights and freedoms of others.

5.14. Complaints to a supervisory authority pursuant to the GDPR. If you think that our processing of your personal data infringes data protection laws, you can lodge a complaint with a supervisory authority responsible for data protection. You may do this in the EU member state of your habitual residence, your place of work or the place of the alleged infringement. This provision is only applicable if you are subject to the protections of the GDPR.

5.15. Complaints if you are not subject to the protections of the GDPR. If you think that our processing of your personal data infringes data protection laws you may contact us via email at privacy@waiverking.com or mail at: WaiverKing, Inc. 340 S Lemon Ave # 2018 Walnut, California 91789.

5.16. Right to withdraw consent. To the extent that the legal basis we are relying on for processing your personal data is consent, you are entitled to withdraw that consent at any time. Withdrawal will not affect the lawfulness of processing before the withdrawal.

5.17. Exercising your rights. You may exercise any of your rights in relation to your personal data by written notice to us in addition to the other methods specified above.

5.18. Point of Contact Data. PARAGRAPHS 5.1 – 5.17 SHALL NOT APPLY TO ACCOUNT DATA, WAIVER DATA, OR PAYMENT DATA OBTAINED OR PROCESSED BY WAIVERKING. IN RESPECT OF SUCH DATA:

a) WAIVERKING IS ACTING AS A PROCESSOR OF THAT DATA AND THE MAIN CONTRACTOR IS THE CONTROLLER;

b) YOU SHOULD CONTACT THE SERVICE PROVIDER TO EXERCISE THE RIGHTS SET OUT IN THIS PARAGRAPH 5

6. Links To Other Websites. Except as otherwise discussed in this privacy policy, this document only addresses the use and disclosure of information we collect from you. Other websites accessible through our website have their own privacy policies and data collection, use, and disclosure practices. Please consult each website’s privacy policy. We are not responsible for the policies or practices of third parties, including any third-party site or other products and services used in connection with WaiverKing’s services. The inclusion of a link does not imply endorsement of the linked site or service by us or by our affiliates.

We are not responsible for the collection, usage and disclosure policies and practices (including the data security practices) of other organizations, such as, Apple, Google, Microsoft, or any other operating system provider, wireless service provider or device manufacturer, including any personal data you disclose to other organizations through or in connection with WaiverKing’s services.

7. Security of Your Information. The security of personal data is a high priority at WaiverKing. We seek to use reasonable technical, administrative and physical safeguards to protect personal data within our organization. Unfortunately, no data transmission or storage system can be guaranteed to be 100% secure. As a result, while we strive to protect your personal data, you acknowledge that: (a) there are security and privacy limitations of the Internet which are beyond our control; (b) the security, integrity, and privacy of any and all information and data exchanged between you and us through the website cannot be guaranteed; and (c) any such information and data may be viewed or tampered with in transit by a third party.

8. IP Addresses and Cookies. Cookies are very small text files that are stored on your computer when you visit some websites.

We use cookies to help identify your computer, including where available, your IP address, operating system and browser type, for system administration so we can keep your activity secure, tailor your user experience and remember your preferences. This is statistical data and does not identify any individual. You are always free to decline our cookies if your browser permits, but some parts of our website may not work properly.

9. Your California Privacy Rights: Notice to California Customers and Opt-Out Information. Residents of the State of California, under certain provisions of the California Civil Code, have the right to request from companies conducting business in California a list of all third parties to which the company has disclosed certain personal data, as defined under California law, during the preceding year for third party direct marketing purposes. You are limited to one request per calendar year. In your request, you must supply appropriate evidence of your identity and attest to the fact that you are a California resident and provide a current California address for our response. You may request the information by writing to privacy@waiverking.com

Some web browsers incorporate a “Do Not Track” feature that signals to websites that you visit that you do not want to have your online activity tracked. California residents are entitled to know how WaiverKing, Inc. responds to “Do Not Track” signals. How browsers communicate the Do Not Track signal is not yet uniform, so a standard technological response has not yet been developed by the appropriate technology communities. For this reason, we do not respond to Do Not Track signals currently. To opt out of direct advertising on our website, please send a request to the address above. The effect of an opt-out will be to stop direct advertising, but it will still allow the collection of usage data for certain purposes (e.g., research, analytics, and internal online services operation purposes).

10. Privacy Shield Framework

10.1. WaiverKing Inc. complies with the EU-U.S. and Swiss-U.S. Privacy Shield Framework as set forth by the U.S. Department of Commerce regarding the collection, use, and retention of personal information transferred from the European Union and Switzerland to the United States. WaiverKing has certified to the Department of Commerce that it adheres to the Privacy Shield Principles. If there is any conflict between the terms in this privacy policy and the Privacy Shield Principles, the Privacy Shield Principles shall govern. To learn more about the Privacy Shield program, and to view our certification, please visit https://www.privacyshield.gov/

10.2. In compliance with the Privacy Shield Principles, WaiverKing commits to resolve complaints about our collection or use of your personal information. Any individual(s) with inquiries or complaints regarding our Privacy Shield policy should contact us at: privacy@waiverking.com

10.3. WaiverKing Inc. has further committed to refer unresolved Privacy Shield complaints to Judicial Arbitration and Mediation Services (JAMS), an alternative dispute resolution provider located in the United States. If you do not receive timely acknowledgment of your complaint from us, or if we have not addressed your complaint to your satisfaction, please visit https://www.jamsadr.com/eu-us-privacy-shield for more information or to file a complaint. The services of JAMS are provided at no cost to you. In certain situations, you may also have the right to pursue binding arbitration under the Privacy Shield Framework.

10.4. You may have the option to select binding arbitration for the resolution of your complaint under certain circumstances, provided you have taken the following steps: (1) raised your complaint directly with WaiverKing Inc. and provided us the opportunity to resolve the issue; (2) made use of the independent dispute resolution mechanism identified above; and (3) raised the issue through the relevant data protection authority and allowed the U.S. Department of Commerce an opportunity to resolve the complaint at no cost to you. For more information on binding arbitration, see U.S. Department of Commerce's Privacy Shield Framework: Annex I (Binding Arbitration).

10.5. For purposes of enforcing compliance with the Privacy Shield, WaiverKing is subject to the investigatory and enforcement authority of the U.S. Federal Trade Commission.

10.6. WaiverKing Inc. is controlled and operated by us from the United States. Except where you are a resident of a Member State of the EU, in which case paragraphs 2 and 3 above will apply, your personal data may be stored and processed in any country in which we engage service providers, and by using WaiverKing’s services you understand that your information may be transferred to countries outside of your country of residence, including the United States, which may have data protection rules that are different from those of your country. In certain circumstances, courts, law enforcement agencies, regulatory agencies or security authorities in those other countries may be entitled to access your personal data. Regardless of where your information is processed, we apply the same protections described in this policy.

11. Changes to the privacy policy. We reserve the right to change this policy at any time, without prior notice to you. Such changes, modifications, additions, or deletions shall be effective immediately upon notice thereof, which may be given by means including, but not limited to, issuing an e-mail to the e-mail address provided by you or posting the revised policy on this page. You acknowledge and agree that it is your responsibility to maintain a valid e-mail address and/or review the WaiverKing website and this policy periodically, and be aware of any modifications. Your continued use of the WaiverKing website after such modifications will constitute your: (a) acknowledgment of the modified policy; and (b) agreement to abide and be bound by the modified policy.

12. Our details

12.1. This website and software is owned and operated by WaiverKing Inc.

12.2. We are registered in the state of California under registration number C3518177, and our registered office is at 340 S Lemon Avenue, # 2018 Walnut, California 91789.

12.3. You can contact us:

a) by mail, using the postal address given above;

b) using our website contact form;

c) by telephone, on the contact number published on our website from time to time; or

d) by email, using the email address published on our website from time to time.

13. Data protection officer

Our data protection officer may be contacted via email: privacy@waiverking.com, or telephone: +1 (888) 211-6693.

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FLEX Waiver

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