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BE AWESOME BE STRONG LLC

COMPRESSION THERAPY (NORMATEC / PNEUMATIC COMPRESSION) INFORMED CONSENT & LIABILITY WAIVER
Facility Location:
160 Old Farm Rd, Suite C-D, Amherst, MA 01002
Phone:
413.345.5317

1. ASSUMPTION OF RISK & NATURE OF SERVICES

Normatec compression equipment utilizes dynamic pneumatic compression (pulsed air compression) designed to mimic the natural muscle pump of the body, enhance lymphatic drainage, encourage fluid movement, and accelerate muscle recovery post-exercise.

I understand and acknowledge that:

  • Dynamic compression therapy involves external squeezing and variable mechanical pressure applied to the limbs (legs, arms, or hips).
  • The physical sensations include firm compression, pulsing pressure, and release cycles. Potential mild risks include temporary skin redness, pressure indentations, mild aching, or discomfort if settings are adjusted beyond personal comfort levels.
  • Compression therapy services provided by Be Awesome Be Strong LLC are intended for general athletic recovery, circulation support, and wellness, and do not constitute medical treatment or physical therapy.


2. CONTRAINDICATIONS & HEALTH ACKNOWLEDGMENT

Pneumatic compression increases venous return and fluid movement. For your safety, individuals with certain vascular, cardiac, or medical conditions must not use compression equipment without express medical clearance.

By signing below, I certify that I DO NOT have any of the following conditions, OR that I have received explicit written clearance from a licensed healthcare provider to use pneumatic compression devices:

  • Deep Vein Thrombosis (DVT) / Blood Clots: Known or suspected blood clots, phlebitis, or pulmonary embolism.
  • Severe Vascular Diseases: Advanced peripheral artery disease (PAD), arteriosclerosis, or severe varicose veins.
  • Acute Cardiac Conditions: Congestive heart failure, acute pulmonary edema, or unmanaged cardiovascular conditions where increased fluid volume to the heart could cause strain.
  • Acute Tissue Trauma: Open wounds, active skin infections, unhealed surgical incisions, bone fractures, or acute soft tissue injuries in the treatment area.
  • Ischemic Limb Disease / Neuropathy: Severe numbness or loss of sensation in the limbs that prevents feeling pressure levels.
  • Active Malignancy / Cancer: Active tumors or cancerous lesions in or near the application site.
  • Pregnancy: (If using hip/body attachments; leg attachments require prior clearance from an OB/GYN).

If you checked or suspect any of the conditions above, you must inform Be Awesome Be Strong LLC staff prior to your session.

3. CLIENT RESPONSIBILITIES & RULES OF USE

I agree to strictly adhere to all operational instructions and guidelines provided by Be Awesome Be Strong LLC staff:

  1. Pressure Levels: I will begin sessions at a moderate intensity level and will not increase pressure settings beyond a comfortable, painless threshold.
  2. Immediate Stop: If I experience sharp pain, excessive tightness, numbness, tingling, shortness of breath, or dizziness at any point during the session, I will stop the device immediately and notify staff.
  3. Attire & Hygiene: I will wear clean, dry clothing (such as leggings or sweatpants) while using the compression sleeves and follow all equipment sanitation protocols.


4. WAIVER AND RELEASE OF LIABILITY

In consideration of being permitted to use the Normatec / Compression Therapy equipment and recovery services at Be Awesome Be Strong LLC, I, for myself, my heirs, personal representatives, and assigns, do hereby:

  1. RELEASE, WAIVE, AND FOREVER DISCHARGE Be Awesome Be Strong LLC, its owners (including Beth Anne Moonstone), operators, officers, employees, coaches, independent contractors, and agents from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury (including vascular aggravation, tissue damage, or personal injury) that may be sustained by me while using the compression equipment.
  2. COVENANT NOT TO SUE Be Awesome Be Strong LLC for any claims arising from the normal and intended use, or accidental misuse, of the compression therapy devices.
  3. INDEMNIFY AND HOLD HARMLESS Be Awesome Be Strong LLC from any loss, liability, damage, or costs (including legal fees) that may incur due to my participation in these services, whether caused by negligence or otherwise, to the fullest extent permitted by Massachusetts law.


5. ACKNOWLEDGMENT OF UNDERSTANDING

I have read this Informed Consent & Liability Waiver carefully and fully understand its terms. I understand that I am giving up substantial legal rights, including the right to sue. I acknowledge that I am signing this agreement freely and voluntarily, and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.



First Participant's Name
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First Participant's Date of Birth*
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First Participant's Signature*
Second Participant's Name
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Third Participant's Name
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Ninth Participant's Name
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Check to receive information, news, and discounts by e-mail.
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
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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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