1803 Connecticut Ave. NW
This Release and Waiver is entered into by and between Luxe Naturale and the undersigned client, effective on the date written below. In consideration of Provider permitting Client to receive Sculptician Select sessions Provider, Client agrees as follows:
Representation of Ability to Participate. Client represents that he or she is of legal age and in satisfactory physical condition and has no medical condition that would prevent Client from receiving a Treatment. Client affirms he or she is properly hydrated and he or she has had the opportunity to inspect the facility, learn about the Treatment, and ask any questions he or she may have regarding the Treatment. Client affirms he or she has had the opportunity to consult his or her physician about any unique needs or restrictions Client may have prior to receiving a Treatment. In the event of an accident, at Client's sole expense, Client hereby authorizes medical transportation to a medical facility and/or hospital.
Acknowledgement and Assumption of Risks. Client acknowledges he or she is aware a Treatment involves an infrared heat body wrap and may require physical exertion that may be strenuous and may cause physical injury, including death, and Client acknowledges that he or she is fully aware of the risks and hazards involved. Client fully accepts and assumes all such risks and all responsibility for losses, costs, and damages that may result from a Treatment.
Release. Client hereby releases, acquits, covenants not to sue and therefore discharges Provider, its owners, officers, administrators, employees, instructors, and/or agents, as well the owners, distributors, manufacturers, wholesalers, and any other entity affiliated with Luxe Naturale (collectively "Released Parties") of and from any and all actions, and knowingly, voluntarily, and expressly waives any claim Client may have against the Released Parties for any injuries or damages (known or unknown), property damage or loss of any kind, including death, whether such injury, damage, loss, or death was caused by the alleged negligence of Provider,
another client, or any other person or cause, which Client may sustain as a result of receiving aTreatment.
Photos. Client understands that photos taken are owned by Luxe Naturale and agrees to allow photos to be used for marketing purposes unless declined.
Indemnification. Client further voluntarily defends, indemnifies, and holds harmless the Released Parties from any and all liabilities or claims made as a result of or relating to Client receiving a Treatment, including attorney's fees, for any accident, injury, illness, death, loss, damage to person or property, or other consequences suffered by Client or any other person arising or resulting directly or indirectly from Client receiving a treatment, whether such injury, death, loss, or damage was caused by the alleged negligence of Provider, another client, or any other person or cause.
Client affirms he or she has been fully informed and understands the use of a Treatment, has prepared for the Treatment as indicated, and accepts personal responsibility for his or her session. Client is aware that the results achieved by this Treatment may vary from person to person, and Client acknowledges that no promises or guarantees have been made to Client as to the results of this session. Client understands Provider does not diagnose conditions or illnesses.
This Release and Waiver is governed by the laws of the State of Maryland.
CLIENT FURTHER AFFIRMS THAT NONE OF THE CONTRAINDICATIONS LISTED ON THE PREVIOUS PAGE THAT PREVENT PARTICIPATION IN RECEIVING A TREATMENT APPLY TO CLIENT.
CLIENT REPRESENTS THAT HE OR SHE HAS CAREFULLY READ AND UNDERSTOOD THE CONTENTS OF THIS RELEASE AND WAIVER. CLIENT IS EXECUTING THIS FORM VOLUNTARILY AND WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE.
Eyebrows & Eyelashes
Skincare Membership Options
Sculptician (R) Select Membership Options
Hair Removal Membership Options
Body Sculpting Intake
Release and Waiver
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1803 Connecticut Ave. NW
Washington DC 20009