Whole Body Cryotherapy Waiver

Please fill this waiver out before your first visit
 

Arctic Blast Cryo Therapy Client Liability Waiver

Contraindications: Do not participate in Whole Body Cryotherapy if you have any of the following conditions:
  • Untreated Hypertension
  • Heart attack within previous 6 months
  • Decompensating diseases (edema) of the cardiovascular and respiratory system; congestive heart failure
  • Unstable Angina Pectoris
  • Pacemaker
  • Peripheral Arterial Occlusive Disease
  • Deep Vein Thrombosis (DVT) or known circulatory dysfunction
  • Acute febrile respiratory (Flu like respiratory conditions)
  • Severe Anemia
  • Cold Allergenic Phenomenon (known allergy to cold contactants)
  • Bacterial and viral infections of the skin
  • Wound healing disorders (open sores or discharging wound/skin conditions)
  • Raynaud’s disease
  • Polyneuropathies
  • Pregnancy
  • Vasculitis
You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you. Agreements:
  1. Follow all instructions given to you by the attendant.
  2. Participation in a whole body cryotherapy session involves exposure to extreme cold temperature for a short period of time (not to exceed three (3) minutes per session). By signing this agreement you confirm that you are in good health and do not have any of the contraindications identified above or other physical condition that would preclude you from safely using whole body cryotherapy.
  3. If you experience any pain or mental or physical discomfort at any time during the process, you may terminate the session immediately. The chamber will not be locked, and you are free to walk out of the chamber at any time.
  4. No representations or claims are made as to the therapeutic nature or other benefits of whole body cryotherapy. Whole body cryotherapy is not intended to diagnose, treat, cure or prevent diseases, illnesses, imbalances or disorders.  No results from whole body cryotherapy are assured.  Every customer is different and responds differently to the therapy.
Waiver and Release:
  1. This is a release of liability and a waiver of certain legal rights.
  2. By signing this agreement you:
    1. Acknowledge that use of whole body cryotherapy involves risk of bodily injury, illness, disability or death, which may be compounded by negligent emergency response of the attendant. You acknowledge that you are voluntarily participating in whole body cryotherapy with knowledge of the dangers involved and accept and assume all risks of injury, illness, disability or death, whether caused by the condition of the facilities or equipment or the negligence of the attendant or otherwise.  You acknowledge that frostbite is a specific risk that you assume.
    2. Expressly waive and release any and all claims against Arctic Blast Cryo., and its officers, directors, employees, agents, affiliates, successors and assigns (which are collectively referred to as “the Company”), arising out of or attributable to your use of whole body cryotherapy, other than as may arise from the gross negligence or intentional misconduct of the Company. You covenant not to assert any such claims against the Company, and forever release and discharge the Company from liability for such claims.
    3. Indemnify and hold harmless the Company from any loss, liability, damage, cost or expense arising out of or connected in any manner with your use of whole body cryotherapy, except as may arise from the gross negligence or willful misconduct of the Company.
    4. Agree that this waiver and release is intended to be as broad and inclusive as permitted under law.  You specifically acknowledge and agree that this agreement is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state law and additionally agree to waive all general release limitations provided by applicable law.
General Provisions:
  1. This agreement shall be construed and interpreted as broadly as possible under the applicable law of the jurisdiction in which you use whole body cryotherapy, with the words, terms, provisions, covenants, and remedies contained in this Agreement to be enforceable to the fullest extent permitted by applicable law.
  2. If any portion of this Agreement is held invalid, the remainder shall not be affected and shall continue in full legal force and effect.
  3. The terms of this Agreement shall continue from this date forever and shall apply to each use by you of whole body cryotherapy without the need for you to resign this Agreement.
  4. This document constitutes the entire agreement regarding your use of whole body cryotherapy and supersedes all prior discussions and representations about the use, benefits or risks of whole body cryotherapy.
BY SIGNING BELOW YOU CONFIRM THAT YOU HAVE CAREFULLY READ BOTH PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, VOLUNTARILY AGREE TO EACH OF ITS TERMS AND PROVISIONS, AND SIGN OF YOUR OWN FREE WILL.

WBC Waiver

WBC Waiver and Authorization
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  • Please enter moblile number. Appointment confirmations and reminders will be sent SMS. Arctic Blast Cryo does not solicit phone or email.
  • Arctic Blast Cryo does not solicit email and will only be used for notifications of existing appointments or for correspondence about appointments, existing Series, Membership information and payment issues.
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  • I acknowledge that purchases made on Groupon are for FIRST TIME CLIENTS only and will not be honored for repeat customers. Groupon purchases made by existing clients will be honored when gifted to new clients. Groupon purchases cannot be refunded at Arctic Blast Cryo. Patrons must contact Groupon for refunds or questions about their purchase.
  • Cancellation Policy: Cancellations must be made 2 hours before time of service to avoid a fee of $10. Clients with credit cards on file will be charged immediately upon late cancellation. Clients without credit cards on file will be responsible to pay late fee at next appointment. No Show Policy: Clients are considered "No Show" when no notification of cancellation has been given, and/or when the client has not arrived for scheduled services within 15 minutes after his or her scheduled appointment time. Fees for "No Show": 1) Clients will be charged the full amount -not prorated or "new client discount" amount- of services to their credit card on file immediately when not showing up or cancelling existing appointments. 2) New clients using Groupon will forfeit the full amount of their voucher. 3) Clients with Memberships on file will be charged the rate of $15 when "no showing". 4) Clients with valid Series options on file will forfeit corresponding Series credit. 5) New clients with no payment option on file will be responsible to pay the full price of services -not prorated or "new client discount" amount- when no showing. Fees will be assessed to the client's account and must be paid before scheduling services in the future.
  • I have read the above waiver and give consent to receive services, including, by not limited to, whole body cryotherapy, at Arctic Blast Cryo. I have read the contraindications and do not have a disqualifying medical condition. I understand that it is my responsibility to discuss my medical condition(s), if any, with a medical professional before having services at Arctic Blast Cryo.
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