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FIR Sauna Waiver

Please complete it before your appointment

 

WAIVER, INDEMNIFICATION, AGREEMENT FORM

 

  1. EXCULPATORY CLAUSE. In consideration for receiving permission to use the Sauna and Shower (herein referred to as “activity”), which is sponsored by The Chicago Stress Relief Center, Inc. (herein referred to as “sponsor”), the Participant understands water is involved and can be slippery when on the ground/floor and/or in and around the Sauna and Shower. I further understand that the Shower floor and floor leading to the Sauna and Shower get wet from time to time and water does cause surface area to become slippery. I also understand that the Sauna gets very hot and I should not use the Sauna if I have a heart condition. I understand I should not stay in the Sauna for more than 30 minutes. I hereby release, waive, discharge, covenant not to sue, and agree to hold harmless for any and all purposes sponsor, The Chicago Stress Relief Center, Inc. and their members, officers, servants, agents, volunteers, or employees (herein referred to as RELEASEES or INDEMNITEES) from any and all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorney’s fees and expenses, that may be sustained by me while participating in such activity, or while on the premises owned or leased by RELEASEES, including injuries sustained as a result of the sole, joint, or concurrent negligence, negligence perse, statutory fault, or strict liability of RELEASEES.
  2. INDEMNITY CLAUSE. I am fully aware that there are inherent risks to myself and others involved with this activity and I choose to voluntarily participate in said activity with full knowledge that the activity may be hazardous to me and my property, and to the person and property of others. I know of no medical reason why I should not participate. / agree to indemnify and hold harmless INDEMNITEES from any and all liabilities, claims, demands, injuries (including death), or damages, including court costs and attorney’s fees and expenses, which may occur to myself, other participants, and third-persons as a result of my participation in said activity, including injuries sustained as a result of the sole, joint, or concurrent negligence, negligence per se, statutory fault, or strict liability of INDEMNITEES.
  3. NO INSURANCE. I understand that RELEASEES may not maintain any insurance policy covering any circumstance arising from my participation in this activity or any event related to that participation. As such, I am aware that I should review my personal insurance coverage.
  4. BIND HEIRS. It is my express intent that this agreement shall bind the members of my family and my spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of Illinois.
  5. VOLUNTARY SIGNATURE. In signing this agreement I acknowledge and represent that this agreement BINDS HEIRS. It is my express intent that this agreement shall bind the members of my family and read it, understand it, and sign it voluntarily as my own free act and deed; The Chicago Stress Relief Center, Inc. has not made and I have not relied on any oral representations, statements, or inducements apart from the terms contained in this agreement. I execute this document for full, adequate and complete consideration fully intending to be bound by the same, now and in the future. I understand I can choose not to sign this document and free myself from its terms and the associated risks of the activity by simply not participating in the activity and choosing some other activity available to me that has a lower level of risk to me.
  6. Please remove all Jewelry and contact lenses before entering the sauna. Wash thoroughly before entering the Sauna. Chicago Stress Relief Center, Inc. its agents and or assigns are not responsible for lost or stolen items.

DO NOT ENTER THE SAUNA IF YOU:

  1. Are epileptic or have a related illness
  2. Are under the influence of drugs or alcohol
  3. Have infectious diseases, open skin wounds, or suicidal tendencies
  4. Are pregnant and have NOT consulted with a physician

I fully understand that I am responsible for any and all medical conditions while in the sauna/shower area.

I recognize that I am fully responsible for my actions while in the sauna and shower area.

 

Please answer the following questions

FIR Sauna and Rain Shower Agreement Form






Participant’s Information


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