Please read this fully. If there is any part that is unclear, please ask for assistance. DO NOT SIGN if there is any part that is unclear. By signing you signify that you understand fully.
2020 COVID-19 Pandemic Waiver and Consent Form
I knowingly and willingly consent to services at the The Cryotherapy Place on behalf of Patient/Myself during the COVID-19 pandemic.
It is also important that you disclose any indication of having been exposed to COVID-19, or whether you have experienced any signs or symptoms associated with the COVID-19 virus.
By signing below in both my individual capacity and as Parent/Guardian, if applicable, I represent that I have fully read and understood the provisions above, have had the opportunity to ask questions about any of the above, and that I accept the associated risk to myself and to minor