Liability Waiver and Acknowledgement of Legal Terms & Policies
Emergency Contact Information
Release of Liability:
I hereby agree to participate in services provided by ETHER WELLNESS, LLC (“Company”). I agree to waive and release from liability arising from negligence, ETHER WELLNESS, LLC, its owner, and all other persons or entities acting for them on behalf of myself and my children, parents, heirs, assigns, personal representative, and estate.
I acknowledge and agree to the following:
1. I, the undersigned, understand that participating in services, trainings, classes, workshops, events, and/or other health and wellness programs or healing arts activities (“Activities”) located at Ether Wellness, LLC (25 N Pinckney St, Ste 310, Madison WI 53703) and/or offered by its owners, officers, agents, instructors, employees, lessees/renters, and representatives (“The Company”), involves physical activity and inherent risks, including but not limited to the risk of injury and may cause or aggravate a physical injury or medical condition. I recognize that I must be in adequate physical and mental health to participate in the Activities. I affirm that I am in good physical health and capable of engaging in physical activity. I agree to inform the instructor, teacher, or practitioner of any medical conditions or limitations before participating. I acknowledge and understand that it is my responsibility to consult with a physician prior to and regarding my participation in Activities, especially if I have any pre-existing health conditions. I agree to follow all instructions so that I may safely participate in the Activities. I understand any health and wellness information The Company shares is for general knowledge and for educational purposes and is not medically prescribed. I choose to follow such programs and guidance at my own risk. I understand The Company reserves the right to refuse my participation in any Activity on medical, fitness, or any other grounds.
2. I am aware that my participation in the Activities could result in falls, high blood pressure, fainting, Cardiovascular events like heartbeat disorders, musculoskeletal physical injury, heart attack, stroke, or other health-related issues and may aggravate pre-existing injuries. I understand that I could experience muscle, back, neck, and other injuries as a result of my participation in the Activities. I understand my physical limitations and I am sufficiently self-aware to stop or modify my participation in any Activity before I become injured or aggravate a pre-existing injury.
3. In consideration of being permitted to participate in the Activities, I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur as a result of participating in the Activities at the Company, including those which may result from the negligence of the Company.
4. I agree that under no circumstances will I present any claim against the Company. It is my intention to relieve the Company, its owner, and all entities acting for them from any liability for personal injury and property damage caused by my participation in the Activities on the premises, even if caused by negligence, to the fullest extent permitted by law.
5. This agreement shall be construed in accordance with, and governed by, the laws of the State of Wisconsin and that all actions, suits, claims, and proceedings relating to this agreement shall be brought in a court of competent jurisdiction located in Dane County, Wisconsin.
6. In case any provision of this agreement shall be held invalid, illegal, or unenforceable, it shall not affect any other provision of this agreement, and this agreement shall be construed as if such provision had never been contained herein.
7. Age Requirements: You must be at least 18 years or older to purchase Activities from The Company. Individuals 12-17 years of age may participate in Activities with written parental or guardian consent.
8. In the event of an emergency, I understand that I am responsible for following the posted emergency policies and procedures, which are displayed in the co-working office.
9. Media Release: By participating in Activities, I grant The Company permission to use photographs and videos of me for promotional purposes. If I do not wish to be photographed, I understand it is my responsibility to inform the instructor, teacher, or practitioner before attending Activities. I acknowledge and understand I will not receive any compensation for the use of these images. I understand by providing my email address, I may be contacted for future sales, promotions, marketing and advertising needs and that I may opt out at any time. The Company may request a testimonial, review and/or share my experiences, which may be used for advertising purposes. This does not include if an event or class is being hosted by a third-party. The third-party instructor, teacher, practitioner, or host of the event is responsible for asking participants for media release.
I acknowledge that I have carefully read this agreement, as well as the Legal Terms & Policies and fully understand its contents. I voluntarily and knowingly agree to the liability terms and conditions stated herein and consent to participate in Activities located at and/or offered by The Company.
If participant is under 18: As Parent or Legal Guardian of the participant, I consent to the above terms and conditions.