Release / Assumption of Risk / Consent to Participation Agreement
The Salt Box, LLC (the “Company”), reserves the right to alter or modify the terms and conditions from time to time. Your acknowledgment below constitutes your agreement to any and all terms changed, modified or altered. The information contained both herein and on our website is designed to disseminate general information. It is not intended to give medical or pharmacological advice and as such should not be relied upon as a substitute for professional medical advice.
I acknowledge that I am voluntarily participating with knowledge of the danger involved and hereby agree to accept and assume any and all risks of injury, death or property damage, whether caused by the negligence of the Company or otherwise.
Furthermore, I acknowledge and understand that:
1. My participation in the procedure is purely voluntarily and no promises, warranties or representations were made to me by the Company to induce me to participate;
2. I am fully responsible for myself and any of my children, guests and/or invitees;
3. The Company does not evaluate or diagnose my health and I have received medical clearance prior to engaging;
4. I have been advised of the possible side effects.
5. All medical conditions should be treated by a physician competent in treating that particular condition.
6. The Company assumes no responsibility for customers choosing this service.
7. All products and services provided by the Company, including written information, brochures and flyers as well as information provided orally or in any other medium of communication, have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease.
For all your health concerns, please consult an appropriately licensed healthcare practitioner.
Note: Do not sign this form unless you have read and feel you understand it. Please ask any questions you have before signing this form. Do not sign this form if you have taken medications that may impair your mental abilities or if you feel rushed or under pressure. By signing, I acknowledge that I have read and understood all of the terms of this agreement and that I am voluntarily giving up substantial legal rights, including the right to sue the company. I agree that neither the company nor its members, managers, employees, agents, suppliers, successors, and assigns shall be liable for any damage resulting from the cosmetic procedure(s). This limit of liability covers claims based on warranty, contract, tort, strict liability, and any other legal theory. This protection covers the company, its members, employees, agents, and suppliers. This protection covers all losses including, without limitation, direct or indirect, special, incidental, consequential, exemplary, and punitive damages, personal injury/wrongful death, lost profits, or damages resulting from the cosmetic procedure(s), the salt room, or the company’s facilities. I hereby expressly waive and release any and all claims, now known or hereafter known in any jurisdiction against the company, and its members, managers, employees, agents, suppliers, successors, and assigns (collectively, “releasees”), on account of injury, death or property damage arising out of or attributable to my participation in the activities, whether arising out of the negligence of the company or any releasees or otherwise. I covenant not to make or bring any such claim against the company or any other releasee, and forever release and discharge the company and all other releasees from liability under such claims. By signing, I acknowledge that I have read and understood all of the terms of this agreement and that I am voluntarily giving up substantial legal rights, including the right to sue the company.