ihrsa-logo-png-transparent.png
CI blue.png
 

THANK YOU FOR VISITING US AT
IHRSA 2019 - SAN DIEGO, CA

partnersbanner.jpg
 
 

By submitting the form above, you must read and agree to the following:

This is a release of liability and a waiver of certain legal rights. 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). Below is a list of absolute 'Contraindications' which will preclude you from whole-body cryotherapy. In addition, PLEASE BE AWARE, that if you experience any pain or mental or physical discomfort at any time during the process, you are advised to terminate the session immediately upon your own volition. You will be observed by a technician the entire time while in the chamber, but are free to walk out of the chamber at any time

• Cold Allergenic Phenomenon (known allergy to cold contactants)

• Heavy consumerist diseases (abnormal bleeding)

• Seizure disorders

• Bacterial and viral infections of the skin, wound healing disorders (open sores or discharging wound/skin conditions)

• Alcohol and drugs relative contraindication

• Valvular Heart Disease

• Condition after heart surgery

• lschemic Heart Disease

• Raynaud's Disease

• Polyneuropathies

• Pregnancy

• Vasculitis

• Claustrophobia

• Hyperhidrosis - heavy perspiration

• Diabetes

Absolute Contraindications

• Untreated Hypertension

• Heart Attack within the previous 6 months

• Decompensating diseases (edema) of the cardiovascular and respiratory system

• Congestive Heart Failure

• COPD

• Chronic Liver Disease

• Unstable Angina Pectoris

• Pacemaker

• Peripheral Arterial Occlusive Disease

• Deep Vein Thrombosis (DVT) or known circulatory dysfunction (blood clots)

• Acute Febrile Respiratory (Flu-like respiratory conditions)

• Acute kidney and urinary tract diseases

• Severe Anemia

If you have a particular health problem which you believe would preclude you from participating in exposure to extreme cold, please check with your primary physician before participating in Cryotherapy.

Liability, Medical Release & Indemnification Agreement

In consideration for being permitted by Cryo Innovations LLC to participate in their Whole Body Cryotherapy, I hereby waive any and all claims and damages for personal injury or death which may occur as a result of my participation. I understand and agree that:

  1. I have no Absolute Contraindications listed above for Whole Body Cryotherapy

  2. This release is intended to discharge in advance Cryo Innovations LLC, its' officers, officials, employees, agents and volunteers from and against all liability arising out of or connected in any way with my participation in these activities

  3. Knowing the risks involved and the contraindications related, I nevertheless voluntarily choose to participate

  4. I will indemnify and hold harmless Cryo Innovations LLC, it's owners, officers, officials, employees and volunteers from any loss, liability, damage, cost or expense, including litigation of any form, arising out of or connected in any manner with my participation in such activities

  5. I am in good health and have no physical condition expressed in the 'Absolute Contraindications' or otherwise which would preclude me from safely participating in such activities

  6. 6I understand and agree that this release is intended to be as broad and inclusive as permitted under California law and that if any portion of this Hold Harmless, Release and Indemnification Agreement should be determined to be invalid, it is my intent that the remaining provisions shall con­tinue in full force and effect.

I HAVE CAREFULLY READ THIS RELEASE INDEMNIFICATION AND HOLD HARMLESS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A POTENTIAL CONFLICT BETWEEN MYSELF, AND MY HEIRS AND CRYO INNOVATIONS LLC. I VOLUNTARILY AGREE TO EACH OF THE TERMS AND PROVISIONS HEREIN AND SIGN THIS OF MY OWN FREE WILL.