RELEASE OF LIABILITY AND WAIVER FOR USE OF HYDROTHERAPY SERVICES

PLEASE READ AND ACKNOWLEDGE THAT YOU UNDERSTAND AND ACCEPT ALL CONDITIONS BY SIGNING BELOW.

cityWell brooklyn has put in place preventative measures to reduce the spread of COVID-19, such as the wearing of masks, regular and thorough sanitizing, social distancing, etc. However, cityWell brooklyn cannot guarantee that you will not become infected with COVID-19.

By signing this agreement, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you may be exposed to or infected by COVID-19 while using cityWell brooklyn facilities, and that such exposure or infection may result in personal injury, illness, permanent disability, and death.

I understand that I will use cityWell brooklyn facilities at my own risk and will not hold cityWell brooklyn or cityWell staff liable for any accident or injury that may occur.

I understand that I should not use cityWell brooklyn facilities while intoxicated and I assume all liability/responsibilities when consuming alcohol.

I understand that if I have heart conditions, high or low blood pressure, or have health conditions that can be affected by hydrotherapy, or are pregnant I should consult a physician before using the hydro tub, steam room or sauna.

I certify that I am 18 years or older or accompanied by an adult/guardian.

The signature in the space below is my legal signature.


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Date: 13.07.2020

Time: 7:58 PM

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