The Atrium Health Club

PREMIUM AMENITY CONSENT AGREEMENT

To be filled out before every session - no exceptions

Please Answer the Following:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
*** If you answered YES to any of these questions it is not recommended that you use the infrared sauna or RLT at this time. We suggest that you consult your Primary Health Care Physician to obtain a release form before proceeding with infrared sauna or Red Light Therapy.***
Considerations:
 
  • No one under the age of 18 is permitted in the full spectrum infrared sauna or RLT
  • Sauna and RLT sessions should be limited to no more than 30 minutes.
  • Drink plenty of water before, during and after your session
  • If you experience pain and/or discomfort, immediately discontinue usage
  • If you are on any medications, consult with your doctor before using the infrared sauna or RLT
  • If you have a medical condition or are on any prescription medications, consult with your physician before using the infrared sauna or RLT.
  • Discontinue the use of the sauna or RLT if you feel light-headed, dizzy, heat exhausted, or unwell.
Waiver and Release of Liability - I acknowledge and accept the risks inherent in the use of the infrared sauna and/or Redlight Therapy(RLT). I voluntarily assume the risk of injury, accident or death, which may arise from the use of the infrared sauna or RLT. 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 infrared sauna or RLT and from any advice provided by an employee of the Atrium Health Club, independent contractor, or any representative. I agree that this release is in effect for all infrared sauna or RLT sessions
 
I acknowledge that I have hereby carefully read this agreement, including the provisions concerning assumption of risk and liability and fully understand that it is a release of liability. I expressly agree to indemnify and hold harmless against any and all claims, suits or actions of any kind all of the Club's affiliates, managers, members, agents, directors, officers, owners, volunteers, heirs, representatives, predecessors, successors and assigns, from any and all claims or causes of action. In the event I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment.

Yes
Signature *