CHILL Cryotherapy Client Liability Waiver

Do not participate in Whole Body Cryotherapy if you have any of the following conditions:

Untreated Hypertension
Heart Attack within previous 6 months
Decompensating diseases (edema) of the cardiovascular and respiratory system; congestive heart failure, COPD, chronic liver disease
Unstable Angina Pectoris
Pacemaker
Peripheral Arterial Occlusive Disease
Deep Vein Thrombosis (DVT) or known circulatory dysfunction
Acute febrile respiratory (Flu like respiratory conditions)
Acute kidney and urinary tract diseases
Severe Anemia
Cold Allergenic Phenomenon (known allergy to cold contactants)
Heavy consumerist diseases (abnormal bleeding)
Seizure disorders
Bacterial and viral infections of the skin, wound healing disorders (open sores or discharging wound/skin conditions)
Valvular heart disease
Ischemic heart disease
Severe Raynaud’s disease
Pregnancy
Vasculitis
This list may not be all inclusive, so if you have any particular health problem which you believe would preclude you from participating in exposure to extreme cold, please check with your treating physician before participating.

Safety Instructions – What to Wear

Because of the exposure to extremely cold temperatures, there are mandatory requirements for apparel to be worn in the chamber.   Men recommended: (shorts or cotton briefs, cotton or wool socks).  Women recommended: (underwear, cotton or wool socks).

All jewelry and piercing(s) must be removed before entering the cryosauna.

This short duration of exposure would be safe even without the protective apparel.  However, Chill Cryotherapy insists that you wear the mandatory cover for your skin and respiratory protection and to maximize the benefits of your experience.

You should not exercise or shower shortly prior to the chamber treatment.  Any type of body condensation will freeze during exposure.  It is recommended that you pat yourself dry with a towel before entering the chamber and do not apply lotions, oils, cologne or any alcohol based products prior to treatment.

Behavior during the Treatment

Treatments are limited to 3 minutes per session.
During the treatment, you must avoid inhaling the nitrogen fumes.  While non-toxic, the fumes are devoid of oxygen and may cause fainting.  Avoiding the fumes can be simply accomplished by keeping your head above the chamber.

You may end the procedure at any time if you experience any problems or anxiety.  If you experience any problems, you should notify the operator immediately.

Abnormal skin sensitivity to cold may be caused by certain foods, cosmetics, or medication, including but not limited to the following: Tranquilizers and blood pressure medication

A person who is less than (18) years of age may not use whole body cryotherapy without parental consent.

Waiver and Release

In consideration for being permitted by Chill Columbus LLC  to participate in their Cryotherapy activity, I hereby waive any and all claims and damages for personal injury or death which may occur as a result of my participation.  I understand and agree that:

This release is intended to discharge in advance Chill Columbus, LLC dba Chill Cryotherapy, its officers, employees and agents from and against all liability arising out of or connected in any way with my participation in these activities;

I hereby confirm that no warranty or guarantee, or other assurance, has been made to me covering the results of the cryo process, and I hereby release, indemnify and hold harmless  Chill Columbus, LLC dba Chill Cryotherapy, its officers, employees and agents, from all   liabilities for injury or damages that may occur to me.  I fully understand the administration of the process, including possible adverse reactions, side effects, or other possible complications.  It is understood that this CONSENT is being given in advance of any administration of the  process, and is being given by me voluntarily to use the equipment.

Participation may involve risk of serious injury, illness, disability or death and may result not only as a result of my actions, negligence or inaction, but also from the action, negligence of inaction of others, including their owners, officers, employees or agents, may result from the conditions of the facilities or areas where such activities are being conducted.

Knowing the risks involved and the contraindications related, I nevertheless chose voluntarily to request permission to participate.

I will indemnify and hold harmless CHILL COLUMBUS, LLC DBA CHILL CRYOTHERAPY its owners, employees and agents from any loss, liability, damage, cost or expense, including litigation of any form, arising out of or connected in any manner with my participation in such activities.
I am in good health and have no physical condition expressed in the ‘Contraindications’ or otherwise which would prevent me from safely participating in such activities; I have been advised that if I suffer from any medical condition or illness whatsoever, I am NOT TO USE the equipment without my doctor’s written permission.

I understand and agree that this release is intended to be as broad and inclusive as permitted under Ohio law and that if any portion of this Liability, Medical Release and Indemnification. Agreement should be determined to be invalid, it is my intent that the remaining provisions shall continue in full force and effect.

IN SIGING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read and understand the foregoing and the proposed cryotherapy process has been satisfactorily explained to me and I have all of the information I desire.  I am at least eighteen (18) years of age and fully competent; and I execute this document for full, adequate, and complete consideration fully intending to be bound by same.  Furthermore, I agree that I will comply with all instructions on the use of cryo device and that I am using these services at my own risk.

I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A POTENTIAL CONFLICT BETWEEN MYSELF, AND MY HEIRS AND CHILL COLUMBUS, LLC DBA CHILL CRYOTHERAPY.  I VOLUNTARILY AGREE TO EACH OF THE TERMS AND PROVISIONS HEREIN AND SIGN THIS OF MY OWN FREE WILL.