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Fire+Floe Liability and Waiver Policy

ACKNOWLEDGMENT OF RISKS, ASSUMPTION OF RISK AND RESPONSIBILITY, AND

RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS.

I have been provided the opportunity to experience Fire+Floe’s mobile woodfired sauna (referred to hereafter as “the Sauna”), guided fitness, and guided cold plunging (the combined sauna, fitness and cold offering referred to hereafter as “the Offering”) and hereby voluntarily agree as follows:

ACKNOWLEDGEMENT OF RISKS: My participation in the Offering involves known and unknown risks, dangers, and hazards that may cause death, personal injury, damage to personal property and loss of personal property. The risks and consequences I am acknowledging include, but are not limited to:

● Slippery surfaces caused by water, ice, snow, or other substances;

● Exposure to cold temperatures;

● Exposure to hot temperatures;

● Exposure to hot equipment;

● Increased and decreased internal body temperature;

● Collisions or contact with other persons and objects inside or outside of the Offering;

● Exposure to airborne illnesses or transmittable diseases;

● Defects or weaknesses in the design, construction, repair, or modification of the Sauna;

● Visible and invisible natural or man-made hazards in or around the Sauna and the Offering;

● Exposure to the natural flows of the Puget Sound including cold temperatures, tides, waves and animal life in the Offering.

● Other foreseeable and unforeseeable risks that contribute to the unpredictability of my participation in the Offering.

REPRESENTATION OF FITNESS: I am physically and mentally fit to participate in the Offering. I do not have any medical condition, such as anhidrosis, that interferes with my ability to sweat. I am not pregnant and am not subjecting a fetus to excessive body temperatures that may cause fetal damage during pregnancy. I am not taking or under the influence of any drugs, alcohol, medication, or other substance affecting my mental or physical state.

ASSUMPTION OF RESPONSIBILITY: I am responsible for my own safety and personal property. I cannot and will not rely on anyone other than myself to keep me or my personal property safe before, during, or after participating in the Offering. My participation in the Offering is voluntary and I can refuse to participate or quit participating in the Offering at any time for any reason.

ASSUMPTION OF RISK: I assume all risk and responsibility for death, personal injury, damage to personal property and loss of personal property that I sustain in connection with my participation in the Offering, except to the extent such damages, injuries, or death results from conduct that constitutes greater than ordinary negligence under Washington State Law.

I am also aware that I am engaging in physical exercise and that the use of training equipment and instruction could cause injury to me. I am voluntarily participating in these activities and assume all risks of injury that might result from them. I understand that all reasonable efforts will be made to ensure my physical safety. I understand that the equipment can be dangerous if used improperly and I will follow the strict instructions given by instructors with respect to all of the equipment used.

Additionally, I understand that Fire+Floe, LLC is not liable for the safekeeping of my personal belongings while I attend class. I agree that neither I, nor my heirs, assigns or legal representatives, will sue or make any other claims of any kind whatsoever against Fire+Floe, LLC or its instructors or employees for any personal injury or property damage/loss, INCLUDING EXPOSURE TO OR INFECTION BY COVID-19, that might occur from my participation in this training program.

I HEREBY AFFIRM THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE STATEMENTS.

WAIVER AND RELEASE FROM LIABILITY; COVENANT NOT TO SUE: I, for myself and for my personal representatives, executors, administrators, heirs or next of kin, forever waive, release, discharge, agree to hold harmless, and covenant not to sue Fire+Floe, LLC and their owners, shareholders, members, partners, employees, officers, directors, agents, and other affiliated persons or entities from any and all liability for any death, personal injury, damage to personal property, loss of personal property, costs, expenses, attorney’s fees, actions, causes of action, suits, obligations, judgments and claims of any nature that I sustain in connection with my participation in the Offering, except to the extent such damages, injuries, or death result from conduct that constitutes greater than ordinary negligence under Washington State Law.

INDEMNIFICATION: I indemnify and agree to hold harmless Fire+Floe, LLC and their owners, shareholders, members, partners, employees, officers, directors, agents, and other affiliated persons or entities from any and all liability for any death, personal injury, damage to personal property, loss of personal property, costs, expenses, attorney’s fees, actions, causes of action, suits, obligations, judgments and claims of any nature arising from, or in connection with, my participation in the Offering.

AUTHORIZATION: Without creating any obligation, I authorize any medical treatment deemed necessary in the event of any injury or illness I sustain while participating in the Offering. I either have appropriate insurance, or in the absence of insurance coverage, I agree to pay all costs of medical treatment provided to me.

RIGHT OF PUBLICITY: I authorize and consent to the use of my name, image, or likeness for commercial purposes in connection with the promotion and marketing of Fire+Floe, LLC.

BINDS HEIRS. It is my express intent that this agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased.

CHOICE OF LAW: This agreement is governed by the laws of the State of Washington. Any claim arising from this agreement or my participation in the Offering must be brought in the state courts of Washington.

SEVERABILITY: Pursuant to Washington State Law, nothing in this agreement purports or intends to waive liability for damage, injuries, or death resulting from conduct that constitutes greater than ordinary negligence. If any provision of this agreement is held invalid, such provision will be severed from this agreement, but the remaining provisions of this agreement will remain in full force and effect.

I HAVE CAREFULLY READ THE ABOVE Fire+Floe, LLC WAIVER AND UNDERSTAND ITS CONTENTS. I AM AWARE THAT BY SIGNING THIS AGREEMENT, I AM WAIVING CERTAIN VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE OTHERS FOR CERTAIN CLAIMS.


PHYSICAL ACTIVITY READINESS QUESTIONNAIRE 

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? YES / NO 

Do you feel pain in your chest when you do physical activity? YES / NO 

In the past month, have you had chest pain when you were not doing physical activity? YES / NO 

Do you lose your balance because of dizziness or do you ever lose consciousness? YES / NO 

Do you have a bone or joint problem (for example, neck, shoulder, back, knee or hip) that could be made worse by a change in your physical activity? YES / NO 

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure, cholesterol or heart condition? Specifically, are you taking any Statin medications? YES / NO 

Do you know of any other reason why you should not do physical activity? YES / NO 

IF YOU CAN ANSWER YES TO ANY OF THE ABOVE QUESTIONS, PLEASE CONSULT YOUR DOCTOR BEFORE PARTICIPATING IN ANY CLASSES OR PROGRAMS OFFERED BY FIRE + FLOE.

I hereby certify that I know of no medical problems that would increase my risk of illness and injury as a result of my participation in the classes and programs offered by FIre+Floe. I acknowledge that the owners, employees, and independent contractors of Fire+Floe are not medical professionals and are not licensed or obligated to provide me with any medical diagnosis, detection, assistance, or guidance related to any illness or injury I may have now or in the future. Further, I acknowledge that any assistance or suggestions provided to me Fire+Floe, its employees and independent contractors, and related to any illness or injury I may have, does not constitute the opinion of a medical professional and merely constitutes friendly advice, and in all cases, I should seek a licensed medical professional for counsel and treatment related to any illness or injury. I take full responsibility for any known or unknown medical conditions which I may have and I hereby warrant that to the best of my knowledge that I am fit to participate in these classes and programs offered by Fire+Floe. I have read and fully understand the contents, meaning, and impact of the foregoing release, and by signing this document, I hereby agree to all terms stated herein.



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*

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

First Name*

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

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

First Name*

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

First Name*

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

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

First Name*

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

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

First Name*

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

Email*

Confirm Email*
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Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
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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