Therapies covered by this Waiver & Release include but are not limited to the following therapies: Whole Body Cyrotherapy, CryoSkin Slimming, CryoSkin Tonning, CryoSkin Facials, NormaTec Compression, Localized Cryotherapy, Cryo Facials, Theragun Compression Therapy, Cupping Therapy. While Therapies are used for various reasons, there are no guarantees. Therapies are not guaranteed to treat or cure any diseases, illnesses, injuries or the like. It is recommended that you consult with your physician prior to use of any of the Therapies. By signing this waiver you assume any and all associated risks and waive your right to sue. CRYOTHERAPY Whole Body Cryotherapy: Whole body cyotherapy is the exposure of a person's skin to temperatures of - 228 to -274 degrees Fahrenheit for a short time (3 minutes or less). At this extreme temperature, the body activates several mechanisms that may have significant long-term health and cosmetic benefits including but not limited to caloric burning, weight loss, detox, relieve muscle soreness and pain, rejuvenate mind and body. Safety Instructions for Whole Body Cryotherapy: - Refrain from use of lotions/oils on skin as the cryotherapy can cause frostbite (swelling, blistering of the skin, burning sensation, etc.)
- Wool socks and gloves will be provided for you to wear during your session.
- Men MUST wear underwear or shorts during a session.
- For women, clothing is optional. If wearing clothing, you must refrain from wearing anything with a metal clasp or buckle.
- Treatments are limited to 3 minutes per session. Overexposure to the cold temperatures may also cause frostbite.
- During treatment, you must avoid inhaling the nitrogen fumes; while non-toxic, they are devoid of oxygen and may cause fainting.
- You may end the procedure at any time if you experience any problems or anxiety.
- Abnormal skin sensitivity to cold may be caused by certain foods, cosmetics, or medication, including but not limited to the following: Tranquilizers, High blood pressure medication.
- A person who is less than (18) years of age may not use whole body cryotherapy without parental consent.
Localized Cryotherapy/Cryo Facials Localized Cryotherapy is targeted to a specific muscle area or spasm can be applied via a localized device for up to 8 minutes depending on the area. Localized cold air treatments reach -193F to -238F, and drop skin temperature rapidly without discomfort as our technicians are trained to measure skin temperature, watch the treated area for coloration changes, and interact with the customer to ensure comfort during treatments. This has been demonstrated to produce beneficial results compared to fifteen-to-twenty minute icing as this treatment flushes the tissue of fluid and waste rapidly (reducing inflammation and improving range of motion), causing a massive return of regenerative blood supply as the rewarming occurs quickly after application. Unlike the whole-body chamber which is more systemic, our localized cryotherapy devices deliver a targeted cooling to specific areas of the body undergoing application. An example of localized treatment would occur with a low back, neck, hamstring, ankle, knee, wrist, or elbow pain. We recommend Whole Body Chamber (systemic) followed by localized cold air (targeted) after a short rewarming period for the best results. Please refer to the safety instructions as set forth above. Contraindications to using Cryotherapy: (You must initial this section) Pregnancy, severe hypertension (BP> 170/100), untreated hypertension, heart attack in the last 6
months, acute or recent myocardial infarction, unstable angina pectoris, arrhythmia, symptomatic cardiovascular disease, cardiac pacemaker, congestive heart failure, unstable angina pectoris, pacemaker. peripheral arterial occlusive disease, deep vein thrombosis (DVT) or known Circulatory Dysfunction, Severe Anemia, Cold Allergenic Phenomenon (known allergy to cold
contactants), Bacterial and Viral Infections of the Skin, Wound healing disorders (open sores or discharging wound/skin conditions), Polyneuropathies, Raynaud’s Disease, Pregnancy, Vasculitis, Chilblains, Cold Urticarial (Cold allergy), peripheral arterial occlusive disease, decompensating diseases (edema) of the Cardiovascular & Respiratory System (COPD), venous thrombosis, acute or recent cerebrovascular accident, uncontrolled seizures, Raynaud's Syndrome, fever, tumor disease, symptomatic lung disorders, bleeding disorders, severe anemia, infection, claustrophobia, cold allergy, age less than 12 years (parental consent to treatment needed for anyone under 18 years old), acute kidney, urinary tract diseases, and bodyweight over 300 lbs.
Localized Therapy:
DO NOT use if you have Raynaud's Disease, Local Limb ischemia, Cold Allergy, Open/Uncovered wounds or sores, Paroxysmal cold hemoglobinuria, No abdomen area can be treated if pregnant. CyroFacials:
DO NOT use if you have Raynaud's Disease, Botox in the last 48 hours, Dermal fillers in the past six weeks, Cold allergy, or open wounds.
NORMATEC RECOVERY BOOTS The NormaTec PULSE Recovery System is best pneumatic compression system on the market for passive recovery. It does all the work while you relax in our anti-gravity chairs after your workouts. Studies have shown that 20 minutes of rest in the NormaTec boots is equivalent to performing active recovery workouts in reducing delayed onset muscle soreness (DOMS) and in improving performance in subsequent workout sessions. It has multiple settings you can use depending on your individual preference and workout intensities. It is a 20 minute post workout massage without the cost, oils, and appointments. Possible associated risks may include but are not limited to: cut off of circulation due to pressure, contusion/bruising. Other extreme causes include but are not limited to the risks identified in the Cyrotherapy. Assumption of Risks described above and herein including but not limited to blood clots, heart attack, stroke, and/or death.
CRYOSKIN By engaging Ohana Cryo Therapy, Inc. (for the purposes hereof referred to together herein as the “Company”) to provide cryotherapy, and related services (“Services”) and using the Company’s equipment and facilities in relation thereto, I hereby acknowledge on behalf of myself, my heirs, personal representatives and/or assigns, that there are certain inherent risks and dangers associated with receiving Services and my use of the Company’s equipment and facilities. At all times, I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions given to me by staff. If in the subjective opinion of the Company’s staff, I would be at physical risk in receiving Services, I understand and agree that I maybe denied access to Services until I furnish the Company with an opinion letter from my medical doctor, at my sole cost and expense, specifically addressing the Company’s concerns and stating that the Company’s concerns are unfounded. I hereby (1) agree to assume full responsibility for any and all injuries or damage which are sustained or aggravated by me in relation to my receiving of the Services, (2) release, indemnify, and hold harmless the Company, its direct and indirect parent, subsidiary affiliate entities, and each of their respective officers, directors, members, employees, representatives and agents, and each of their respective successors and assigns and all others, from any and all responsibility, claims, actions, suits, procedures, costs, expenses,damages, and liabilities to the fullest extent allowed by law arising out of or in any way related to the Services, and (3) represent that: (a) I have no medical or physical condition that would prevent me from receiving the Services, (b) I do not have a physical or mental condition that would put me in any physical or medical danger, (c) I have not been instructed by a physician to not receive Services, (d) no warranty or guarantee, or other assurance, has been made to me covering the results of the Services, (e) knowing the risks involved I nevertheless chose to voluntarily request the Services. Notwithstanding the foregoing (and by way of illustration only and not limitation) if any of the following apply to me or if I’m unsure for any reason, I hereby acknowledge the Company’s recommendation that I consult a medical physician before receiving Services. CRYOSKIN SLIMMING -Severe Raynaud’s
-Severe Allergy to Cold
-Progressive Diseases (MS
, ALS, Parkinson’s, Neuropathy)
-Active Cancer
-HIV/AIDS
-Lymphatic Disorders
-Uncontrolled Diabetes or Diabetes
-related complications
-Severe Kidney or Liver Disease
-Pregnancy/Breastfeeding
-Bacterial and viral infections of the skin
-Wound healing disorders
-Circulatory disorders
-Surgery in the past 6 months
-Pacemaker/metal implants
-Active/Severe Eczema, rashes, or dermatitis
-Use of topical antibiotics in desired treatment area
-Silicone/other implants in desired treatment area
-Mesh inserts in the desired treatment area
-Irremovable body piercings in the desired treatment area
-Incision scar(s) in the desired treatment area
*I have read and acknowledge the contraindications of Cryoskin Slimming.
Cryoskin Toning:
-Severe Raynaud’s
-Severe Allergy to Cold
-Progressive Diseases (MS, ALS, Parkinson’s, Neuropathy)
-Pregnancy/Breastfeeding
-Bacterial and viral infections of the skin
-Wound healing disorders
-Circulatory disorders
-Surgery in the past 6 months
-Pacemaker/metal implants
-Active/Severe Eczema, rashes, or dermatitis
-Silicone/other implants in desired treatment area
-Use of topical antibiotics in desired treatment area
-Mesh inserts in the desired treatment area
-Irremovable body piercings in the desired treatment area
*I have read and acknowledge the contraindications of Cryoskin Toning.
Cryoskin Facial:
-Severe Raynaud’s
-Severe Allergy to Cold
-Progressive Diseases (MS, ALS, Parkinson’s, Neuropathy)
-Botox in the past 30 days -Fillers in the past 90 days
-Bacterial and viral infections of the skin
-Wound healing disorders
-Circulatory disorders
-Metal implants
-Surgery in the past 6 months
-Active/Severe Eczema, rashes, or dermatitis
-Silicone/other implants in desired treatment area
-Use of topical antibiotics in desired treatment area
-Irremovable body piercings in the desired treatment area
*I have read and acknowledge the contraindications of Cryoskin Facial.
DO NOT use if: Acute deep vein thrombosis, Severe atherosclerosis or other ischemic vascular diseases, Severe congestive cardia failure, Existing pulmonary edema, Existing pulmonary embolism, Extreme deformity of the limbs, Malignancy in the legs, Untreated limb, infections/cellulitis, Limb fractures, Presence of Lymphangiosarcoma. Theragun Compression Therapy The Theragun is a lightweight, battery operated,muscle treatment device that increases blood flow, decreases lactic acid and interrupts the pain cycle. All of this helps the body's ability to recover after a workout. an injuryor muscle pain from everyday life. DO NOT use if any of the above conditions. potential risks include but are not limited to pain, discomfort, bleeding, bruising.
CUPPING THERAPY Cupping Therapy ia a form of alternative medicine in which a therapist puts special cups on your skin for a few minutes to create suction. People get cupping done for many purposes, including to help with pain, inflammation, blood flow, retaxation, and well being, and as type of deep-tissue massage. DO NOT use if you have any of the above conditons mentioned in our other services offered. Potential risk include but are not limited to pain, discomfort, bleeding, bruising, redness, pierced/torn skin, skin infection, headache.
Initial below to indicate that you have read through these contraindications carefully.
MASSAGE THERAPY Please take a moment to read and initial the following information: I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow. If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session. I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness. I affirm that I have notified my therapist of all known medical conditions and injuries. I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on the therapist’s part should I forget to do so. I understand that massage is entirely therapeutic and non-sexual in nature. By signing this release, I hereby waive and release my therapist, Ohana Cryo Therapy from any and all liability, past, present, and future relating to massage therapy and bodywork. I have read and agree to the policies therein. * Information and Suggestions * Prior to your massage, please remove contact lenses and all jewelry. * Pull long hair back with a clip or band * In general, massage is given while you are unclothed. However, you may choose to wear undergarments or a swimsuit. You will be covered with a top sheet throughout your session. This is your massage and you should be as comfortable as possible. * Certain types of massage (shiatsu, cranial sacral therapy, reflexology, Thai massage) require loose, comfortable clothing that allow for freedom of motion. * Feel free to ask your therapist any questions before, during, or after the session. Your therapist is a highly trained professional and will be happy to make you feel informed and comfortable. * I understand that massage is entirely therapeutic and non-sexual in nature.
ASSUMPTION OF RISKS. I understand that there are potential risks and dangers which may arise in my use and participation in the Therapies. Fluctuations in blood pressure (due to peripheral vasoconstriction, blood pressure may briefly increase by up to 10 points systolically during treatment. This effect should reverse after the end of the procedure, as peripheral circulation returns to normal), Allergic reaction to extreme cold (rare), claustrophobia, anxiety, activation of some viral conditions (cold sores) etc. due to stimulation of the immune system. Other risks may include but are not limited to skin damage, nerve damage, frostbite, wrist, ankle, shoulder, back injury, hand amputation, foot amputation, loss of limbs, complex regional pain syndrome, reflex sympathetic dystrophy. I understand that these injuries and losses might result not only from my actions, but also from the actions, inaction, or negligence of others. I understand and appreciate these and all other risks in the use of cryotherapy. Despite the potential risks and damages associated with the use of Therapies, I voluntarily wish to proceed and I voluntarily and freely accept and expressly assume all risks and damages whatever they may be from the use of Therapies that could result in personal injuries, illnesses, disabilities, death and property damages to me. I have NOT had previous injuries as listed above. I KNOWINGLY AND VOLUNTARILY ASSUME ALL SUCH RISKS, ALL KNOWN AND UNKNOWN, EVEN IF ARISING FROM THE NEGLIGENCE OF RELEASEES, and assume full responsibility for my participation in the use of the Equipment. FULL SPECTRUM INFRARED SAUNA & INFRARED SAUNA The use of infrared saunas may have many health benefits; however it is important that you fully understand how to use the sauna and gradually introduce your body to the infrared sauna therapy to produce the best results. In all situations, hydration is a requirement for sauna use. Drinking filtered water or even advanced electrolyte replacement water is recommended before and after sauna use. Self-treatment of any disease with an infrared sauna is not recommended without direct supervision of a certified physician. If anything listed below applies to you, please consult your physician before using an infrared sauna. MEDICATIONS Individuals who are using prescription drugs should seek the advice of their personal physician or a pharmacist for possible changes in the drugs effect when the body is exposed to infrared waves or elevated body temperatures. Some medications including diuretics, barbiturates, and beta-blockers and others may impair the body’s natural heat loss mechanisms. Some over the counter drugs such as antihistamines may also cause the body to be more prone to heat stroke. CARDIOVASCULAR CONDITIONS [initial[ Individuals with cardiovascular conditions or problems (hypertension/hypotension), congestive heart failure, impaired coronary circulation or those who are taking medications which might affect blood pressure should exercise extreme caution when exposed to prolonged heat. Heat stress increases cardiac output and blood flow in an effort to transfer internal body heat to the outside environment via the skin (perspiration) and respiratory systems. If using a pacemaker or defibrillator, please discuss risks involved with your physician. ALCOHOL Contrary to popular belief, it is not advisable to attempt to “sweat out” a hangover. Alcohol intoxication decreases a person’s judgment; therefore it might not be realized when the body has a negative reaction to high heat. Alcohol also increases the heart rate, which may be further increased by heat in the infrared sauna. CHRONIC CONDITIONS Various chronic conditions including Parkinson’s, Multiple Sclerosis, Central Nervous System Tumors, Lupus, Diabetes with Neuropathy and other conditions are associated with impaired sweating. Please consult a physician before use if you have a chronic condition. JOINT INJURY / ENCLOSED INFECTIONS If you have a recent joint injury, it should not be heated for the first 48 hours after injury or until the hot and swollen symptoms subside. If you have joints that are chronically hot and swollen, these joints may respond poorly to vigorous heating of any kind. Vigorous heating maybe contraindicated in cases of infections. IMPLANTS Metal pins, rods, artificial joints or any other surgical implants generally reflect far infrared waves and thus are not heated by this system, nevertheless you should consult your surgeon prior to using an Infrared Sauna. Certainly, the usage of an Infrared Sauna must be discontinued if you experience pain near any such implants. Silicone does absorb far infrared energy. Implanted silicone or silicone prostheses for nose or ear replacement may be warmed by the far infrared waves. Since silicone melts at over 200°C (392°F), it should not be adversely affected by the usage of an Infrared Sauna. It is still advised that you check with your surgeon and possibly a representative from the implant manufacturer to be certain. I AM NOT PREGNANT Fetal damage can occur with a certain elevated body temperature which may arise from sauna use. I AM 18 YEARS OLD The core body temperature of children rises much faster than adults. This occurs due to a higher metabolic rate per body mass, limited circulatory adaptation to increased cardiac demands and the inability to regulate body temperature by sweating. If user is under 18 they must be accompanied by an adult and facility reserves the right to require Pediatrician written approval before sauna use. ELDERLY The ability to maintain core body temperature decreases with age. This is primarily due to circulatory conditions and decreased sweat gland function. The body must be able to activate its natural cooling processes in order to maintain core body temperature. If you have concerns related to sauna use as it relates to your age please consult your medical Physician prior to use. Initial that you **DO NOT USE the infrared sauna if you are Pregnant or have Hemophilia, Fever, or Heat Insensitivity. ** In the rare event that you experience dizziness, pain and/or discomfort, immediately discontinue sauna use. WAIVER AND RELEASE OF LIABILITY: It is not advisable to use an infrared sauna under certain medical conditions and it is recommended that you consult a physician before first use or if questions/concerns arise. It is solely your responsibility to monitor your body/reactions and determine if it is appropriate to use the Sauna. You alone are responsible for your safety and well-being. 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 of Ohana Cryo Therapy Inc. I agree that this Application and Waiver is in effect for all Sauna sessions and will not expire unless requested by either party in writing and understand it is my personal responsibility to consult with my Doctor regarding my participation. RELEASE AND WAIVER OF LIABILITY 1. In consideration for using the Therapies, I, on behalf of myself, my personal representatives, heirs, executors, administrators, agents and assigns, HEREBY RELEASE,WAIVE, DISCHARGE, COVENANT NOT TO SUE, AND HOLD HARMLESS Ohana Cryo Therapy, its officers, servants, agents, employees, contractors and volunteers (hereinafter referred to as RELEASEES) from any and all liability, including any and all claims, demands, actions, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys' fees), arising from any injury, property damage or death that I may suffer as a result of my participation in the Therapies, REGARDLESS OF WHETHER THE INJURY, DAMAGE, OR DEATH IS CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 2. I hereby confirm that no warranty or guarantee, or other assurance, has been made to me covering the results of the Therapies, and I hereby relieve them and hold them harmless from all liabilities for injury or damage that may occur to me. I fully 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 Therapies. 3. I am fully aware of the risks and hazards connected with the use of the Therapies, including the risk of physical injury, disability and/or death as the result of the use of Therapies, and I am voluntarily participating in said Therapies, and entering the above named premise to engage in such usage. I KNOWINGLY VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY/ILLNESS/DISABILITY/DEATH that may be sustained, or any loss or damage to property as a result of being engaged in such an activity. 4. I, on behalf of myself, my personal representatives, heirs, executors, administrators, agents and assigns, further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from and any and all losses, damages, claims, actions, suits, procedures, costs, damages and liabilities, including attorney's fees and costs, which occur as a direct or indirect result of my involvement in the use of the Equipment, and agree to reimburse the RELEASESS for any and all such expenses. 5.It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assignees and personal representative, if I am not alive, and shall be deemed as a RELEASE, WAIVER, AND DISCHARGE of the above named RELEASEES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of California. 6. I agree that this Agreement is intended to be as broad and inclusive as is permitted by law and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. 7. I understand that Therapies is intended and provided for various purposes such the basic purpose of calorie burning, weight loss, relaxation, stress reduction, relief of muscular tension, recovery from muscular tension, and recovery from surgery, illness or injury. I further understand that there are no guarantees the Therapies will accomplish any such purpose. Further, I understand that Therapies should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified medical specialist for any mental or physical ailment prior to using the Therapies. 8. I understand that the therapists of the Therapies are not medical professionals and therefore not qualified to perform skeletal adjustments, diagnose and/or prescribe, and that nothing said in the course of the session should be construed as such. 9. Because Therapies are contraindicated under certain conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly. I agree to keep the therapists updated as to any changes in my medical profile and understand that there shall be no liability on the therapist's part should I forget to do so. My signature below constitutes my acknowledgment that (1) I have read, understand, and fully agree to the foregoing CONSENT, (2) the proposed use of the Therapies has been satisfactorily explained to me and I have all of the information I desire and (3) I hereby give my authorization and consent. This CONSENT shall stand as long as I use the Therapies at the location now and in the future. I have read the instructions for proper use of the facilities and do so at my own risk and hereby release the owners, operators, franchisers, or manufacturers, from any damage or harm that I might incur due to use of the facilities. IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT: - I have read and understand the foregoing Waiver of Liability and Hold Harmless Agreement.
- I understand that Ohana Cryo Therapy in its sole discretion can refuse service to me for any reason including my own personal safety or the safety of itself or any of its employees.
- I am at least eighteen (18) years of age and fully competent.
- I have given up considerable future legal rights.
- I certify that I do NOT suffer from any of the contraindications listed above.
- And I execute this Release freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me.
Furthermore, I agree that I will comply with all instructions on the use of the Therapies and that I am using these services at my own risk. I agree to use the Therapies within the terms of the contract dates and understand that refunds are not given on unused portions of purchased packages. Photographs I agree to the use of my name, age, likeness, photographs, school/occupation/affiliation, testimonials, reasons for use of therapy including but not limited to for medical conditions and other related items without compensation, unless I, in writing, separate and apart from this Agreement, expressly provide written declination to non-use otherwise. Pictures will be obtained for records. If pictures are used for education and marketing purposes, all identifying marks will be cropped or removed, unless the Cryoskin treatment is done on the face.
LEGAL SIGNATURE
DATE: September 22, 2024
By checking this box I agree to have read and agree to the legal agreement above. I Agree |
