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Save time- complete your new client intake forms ahead of time.  

HALO IR RELEASE AND WAIVER OF LIABILITY

Please fill out the following form prior to your first HALO IR Sauna session with Serendipity Wellness Studio, if it has been over 6 months since your last sauna session with us, or if you have had any major health changes

Serendipity Wellness Studio (the “Company”), reserves the right to alter or modify the below terms and conditions
from time to time.

Your acknowledgment below constitutes your agreement to any and all terms changed, modified or altered.
The information contained both herein and on our website is designed to disseminate general information. It is not intended to
give medical or pharmacological advice and as such should not be relied upon as a substitute for professional medical advice.


Halotherapy (“Salt Therapy”) is not recommended in the following cases: tuberculosis, fever, contagious conditions,
severe heart disorders, or existence of cancer, advanced pregnancy, or acute state of respiratory attack
. The use of Salt Therapy
is not intended to substitute for medical care or treatment. Do not stop your medication without first consulting with your
doctor. Salt Therapy, Infrared and Red light therapy do NOT substitute for any conventional medication. If you have any questions about any of the therapies offered check with your doctor before proceeding.


Infrared and Sauna/Heat Therapy is not recommended in the following cases: fever, insensitivity to heat, pregnant, acute
joint injury or inflammation, infection, cardiovascular conditions
including but not limited to high blood pressure, individuals
prone to bleeding, under the influence of alcohol, or chronic conditions associated with a reduced ability to perspire (sclerosis,
central nervous system tumors and diabetes with neuropathy).
Talk to your physician if you have metal or silicon bodily
implants
.   

Red Light Therapy is not recommended in the following cases: pregnancy, epilepsy, individuals currently taking cortisone injections or steroids, acute and active hemorrhage, or individuals with diseases that involve the retina of the eye, such as diabetes. Use of Red Light Therapy directly over the thyroid in specific thyroid conditions is not advised.

Medications: Individuals who are using prescription drugs should seek the advice of their personal physician or a pharmacist
for possible changes in the drug's effect when the body is exposed to Far infrared waves or elevated body temperature.
Diuretics, barbiturates and beta-blockers may impair the body's natural heat loss mechanisms. Some over the counter drugs
such as antihistamines may also cause the body to be more prone to heat stroke.

Use of Red Light Therapy while taking photo-sensitizing medications like lithium, melatonin, phenothiazine, antipsychotics, and certain

antibiotics is not advised. Talk to your physician for advice on whether or not Red Light Therapy is right for you.


Children: The core body temperature of children rises much faster than adults. This occurs due to a higher metabolic rate per
body mass, limited circulatory adaptation to increased cardiac demands and the inability to regulate body temperature by
sweating. Consult with the child's Pediatrician before using the sauna.


In consideration of being permitted to enter the premises and engage in any of the services offered by the Serendipity Wellness Studio (the
“Activities”), I, the Client or the Parent or Guardian of the minor child listed below, agree to all the terms and conditions set
forth in this agreement (the “Agreement”).


I acknowledge and fully understand that engaging in the Activities involves a significant and inherent risk of loss, damage or
injury, including but not limited to physical injury, damage to myself or my property. I acknowledge that I am voluntarily
participating in the Activities with knowledge of the danger involved and hereby agree to accept and assume any and all risks
of injury, death or property damage, whether caused by the negligence of Serendipity Wellness Studio or otherwise.

Furthermore, I acknowledge and understand that:
1. My participation in the Activities is purely voluntarily and no promises, warranties or representations were made to me by Serendipity Wellness Studio to induce me to participate;
2. I am fully responsible for myself and any of my children, guests and/or invitees;
3. Serendipity Wellness Studio does not evaluate or diagnose my health and I have received medical clearance prior to engaging in the
Activities;
4. I have been advised of the following possible side effects related to salt therapy: Dry or itchy throat, nasal drip, and
increased coughing at the beginning
. This is a natural part of the cleaning process of the respiratory system, during
which the pollution, accumulated through a long time, and now loosened up by the salt, is expelled from even the
deepest regions of the lungs. Such side effects should cease with the removal of pollution and pathogens. Skin
irritation and dermal sensitivity may occur
. In such a case, decrease the frequency of sessions;
5. I have been advised of the following possible acute side effects related to sauna use: dehydration, elevated body
temperature, lightheadedness, heat stroke;

6. Serendipity Wellness Studio has neither applied for or received approval by the Food and Drug Administration or any other
consumer protection group;
7. The use of the cabin at Serendipity Wellness Studio has not been evaluated by the Food and Drug Administration or any other
agency;
8. The use of salt, heat, and or infrared therapy is not intended to treat, cure or prevent any illness or condition. All
medical conditions should be treated by a physician competent in treating that particular condition. Serendipity Wellness Studio
assumes no responsibility for customers choosing to treat themselves; and
9. All products and services provided by Serendipity Wellness Studio, including written information, labels, brochures and flyers as
well as information provided orally or in any other medium of communication, have not been evaluated by the Food
and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease.

For all your health concerns, please consult an appropriately licensed healthcare practitioner.


I AGREE THAT NEITHER SERENDIPITY WELLNESS STUDIO NOR ITS MEMBERS, MANAGERS, EMPLOYEES, AGENTS, SUPPLIERS,
SUCCESSORS AND ASSIGNS SHALL BE LIABLE FOR ANY DAMAGE RESULTING FROM THE ACTIVITIES. THIS
LIMIT OF LIABILITY COVERS CLAIMS BASED ON WARRANTY, CONTRACT, TORT, STRICT LIABILITY, AND
ANY OTHER LEGAL THEORY. THIS PROTECTION COVERS SERENDIPITY WELLNESS STUDIO, ITS MEMBERS, EMPLOYEES,
AGENTS, AND SUPPLIERS. THIS PROTECTION COVERS ALL LOSSES INCLUDING, WITHOUT LIMITATION,
DIRECT OR INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, EXEMPLARY AND PUNITIVE DAMAGES,
PERSONAL INJURY/WRONGFUL DEATH, LOST PROFITS OR DAMAGES RESULTING FROM USE OF THE
ACTIVITIES, THE SALT CABIN OR SERENDIPITY WELLNESS STUDIO'S FACILITIES


I HEREBY EXPRESSLY WAIVE AND RELEASE ANY AND ALL CLAIMS, NOW KNOWN OR HEREAFTER KNOWN
IN ANY JURISDICTION AGAINST SERENDIPITY WELLNESS STUDIO, AND ITS MEMBERS, MANAGERS, EMPLOYEES, AGENTS,
SUPPLIERS, SUCCESSORS AND ASSIGNS (COLLECTIVELY, “RELEASEES”), ON ACCOUNT OF INJURY, DEATH
OR PROPERTY DAMAGE ARISING OUT OF OR ATTRIBUTABLE TO MY PARTICIPATION IN THE ACTIVITIES,
WHETHER ARISING OUT OF THE NEGLIGENCE OF SERENDIPITY WELLNESS STUDIO OR ANY RELEASEES OR OTHERWISE. I
COVENANT NOT TO MAKE OR BRING ANY SUCH CLAIM AGAINST SERENDIPITY WELLNESS STUDIO OR ANY OTHER
RELEASEE, AND FOREVER RELEASE AND DISCHARGE SERENDIPITY WELLNESS STUDIO AND ALL OTHER RELEASEES FROM
LIABILITY UNDER SUCH CLAIMS.


All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal
laws of the State of Virginia without giving effect to any choice or conflict of law provision.


BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS
AGREEMENT AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE
RIGHT TO SUE SERENDIPITY WELLNESS STUDIO

.
 

For an Accompanied Minor:

I am the parent or legal guardian of the minor named below. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release and Waiver of Liability.

Parent of Child’s Signature: Parent of Child’s Name:

Thanks for submitting! We are looking forward to seeing you!

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