MEMBERSHIP & DAY USE MEDICAL
WAIVER AND RELEASE FORM
Welcome to Calming Tides. Because our facilities and equipment expose you to a range of temperatures and electrical fields, it is important that you check with your personal physician before starting any new regimen. This is especially true if you have a history of heart disease or have an installed pacemaker/medical device, bypass or valve surgery, diabetes, fainting, blood disorders, installed pain pump, and/or circulatory issues. Members and day users that have open wounds or unhealed sores are prohibited from using the cold and hot hydrotherapy tubs, compression sleeves, hyperbaric chamber, and infrared sauna.
If at any time you experience breathing issues or physical discomfort, do not hesitate to extricate yourself from the equipment, room, or facility. If you are still experiencing issues, notify a staff member or call 911. Please note that staff members are NOT trained emergency healthcare providers.
I choose to voluntarily participate in services provided by Calming Tides. I agree to abide by all warnings and instructions provided in connection with Calming Tide’s services. If I do not know how to utilize a service or offering, I agree to consult with a Calming Tides employee before using. I acknowledge that failure to abide by instructions and warnings could lead to physical injury or death.
Participation and use of services at Calming Tides may involve potential risk of serious injury, illness, disability, or death, which I acknowledge may result from not only my actions, inactions, or negligence but also from the actions, inactions, or negligence of others including Calming Tides and their affiliates, officers, officials, employees, agents, and volunteers against all liability arising out of or connected in any way with my participation in these services.
As part of my membership, or as a day-use customer, I hereby assume the risks of participating in any/all activities associated with the services offered by Calming Tides. This includes, but is not limited to, any risks that might arise from the directed use of the equipment, negligence, or carelessness on the part of the persons or entities being released from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I also waive all claims for damages for personal injury or death which may occur because of my participation.
I certify that I am physically fit, have sufficiently prepared or trained for participation in this activity, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this activity. Some of these reasons may include the following:
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Pregnant or working towards pregnancy
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History of fainting or seizures
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Light sensitive seizures
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Cold/heat allergies with known reactions
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Heart or circulatory disease such as congestive heart failure or deep vein thrombosis
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Heart, bypass, or valve surgery within the last 24 months
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Pacemaker or any other type of electrical stimulation device
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Under the influence of illicit drugs or alcohol
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Open sores or wounds when using the cold or hot hydrotherapy
I am in good health and have none of the conditions listed on this agreement which would preclude me from participating in these activities.
I acknowledge the risks related to my participation in the Calming Tides services, including, but not limited to, water related and slip hazards, cardiac arrest, drowning, hypothermia, thermal and heat injuries, photosensitivity reactions, soft tissue and nerve injury, skin damage, eye strain, headaches, discomfort, and pain. Knowing the risks involved, I choose voluntarily to request permission to participate in the activities and services provided by Calming Tides.
I will indemnify and hold harmless Calming Tides, its owners, officers, officials, employees and volunteers of any cost or expense, including litigation of any form, arising out of or connected in any way to my participation in activities and services provided by Calming Tides, even if Calming Tides is alleged to be partially at fault.
You may NOT use the BioCharger NG if any of the following conditions apply:
• Pregnant
• Under 14 years of age
• Photosensitive (i.e. photoconvulsive response, epilepsy)
• Pacemaker
• Insulin Pump
• Passive metallic implants such as plates or screws
Do NOT touch the BioCharger NG or any metallic object when operating.
Cell Phone or Tablet damage: Do NOT use any electronics near the BioCharger NG
I acknowledge and accept the risks inherent in the use of the BioCharger NG. I voluntarily assume the risk of injury, accident, or death, which may arise from the use of the BioCharger. I, and any of my heirs, executors, representatives, or assigns, hereby release from all claims or liabilities for personal injury or property damages of any kind sustained while on the premises, during the use of the BioCharger NG and from any advice provided by an employee, independent contractor, or any representative. I agree that this Application and Waiver is in effect for all BioCharger NG sessions and will not expire unless requested by either party. Calming Tides and its representatives, including but not limited to BioCharger NG, does not provide medical advice or treatment. BioCharger NG may or may not be appropriate for you. Please consult your healthcare provider for medical advice. The information provided is for general information purposes only and does not address individual circumstances or medical conditions. Do not attempt to self-treat any disease with BioCharger NG.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A POTENTIAL CONFLICT BETWEEN MYSELF, MY HEIRS AND AUGMENT. I VOLUNTARILY AGREE TO EACH OF THE TERMS AND PROVISIONS HEREIN AND SIGN THIS OF MY OWN FREE WILL.