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NORDIC CRYO SPA WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

NORDIC CRYO SPA WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT

WARNING: THE FOLLOWING IS A RELEASE OF LIABILITY. PLEASE READ CAREFULLY.

1. In consideration for receiving services at Nordic Cryo Spa and utilizing their health and wellness equipment (herein after referred to as “equipment”), I hereby release, waive, discharge in advance, and hold harmless Nordic Cryo Spa Officers (including but not limited to owners, officials, employees, agents, franchisees and volunteers, (all of whom are referred to as “releasees”), from any and all liability, claims, demands, actions and causes of actions whatsoever arising out of or related to any damage or injury that maybe sustained by me, due to any act of negligence of any of releasees, while using any equipment, due to the use of any equipment, or due to any condition of any premises of the Nordic Cryo Spa.

2. I hereby confirm that no warranty or guarantee, or other assurance has been made to me covering the results of the cryotherapy process or use of equipment. I have been explained and I understand the process, including possible adverse reactions, side effects, or other possible complications. It is understood that MY CONSENT, as indicated by my signature below, is being given in advance of any administration of the process, and is being given by me voluntarily to use any equipment of the Nordic Cryo Spa.

3. I am fully aware of the risks connected with the equipment, and I am voluntarily participating in said equipment usage and entering Nordic Cryo Spa premises to engage in such usage. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS that maybe engaged in such an activity.

4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and shall be deemed as a RELEASE WAIVER AND DISCHARGE of the above named. 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 North Carolina.

5. I understand that the equipment of the Nordic Cryo Spa is designed for fitness and appearance enhancing use only, by persons in good health. I have been advised that if I suffer from any medical condition or illness whatsoever, I am NOT TO USE the equipment without my doctor’s written permission or recommendation. 

6. If I shall faint due to excess nitrogen inhalation, I hold myself responsible for all injuries should I fall and the cryosauna attendant has the right to assist me.

7. My signature below constitutes my acknowledgement that (1) I have read, understood and fully agree to the foregoing consent; (2) the proposed indoor cryotherapy process and use of all equipment have been satisfactorily explained to me and I have all the information I desire; (3) I hereby give my authorization and consent. This CONSENT SHALL STAND AS LONG AS I USE ANY EQUIPMENT OF THE NORDIC CRYO SPA now and in the future; and (4) that I have signed this waiver of Liability and Hold Harmless Agreement of my own free and voluntary will, without any threat or coercion whatsoever.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Signature*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Signature*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Signature*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Signature*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Signature*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Signature*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Signature*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Signature*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
I acknowledge that I have read and understood Nordic Cryo Spa waiver set forth above and acknowledge the risks associated with the use of cryotherapy and all other equipment. My son/daughter has also read and acknowledged the contraindications and waiver of risks. I give consent on behalf of my minor to voluntarily undergo the processes.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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