Client Intake & Liability Waiver

I certify that I am at least 18 years old, and I voluntarily sign this Release of Liability and Assumption of Risk Agreement in favor of Schwartz Lymphatic Sculpt, Amanda Schwartz, and/or its employees, contractors, officers, directors, volunteers and agents (collectively "Schwartz Lymphatic Sculpt") in consideration of Schwartz Lymphatic Sculpt providing a body and face treatments ("Treatment") to Client.

SECTION 1. RECEIPT OF TREATMENT

I acknowledge that there are natural factors and occurrences which may impact or affect the safety of the Treatment. Receiving the Treatment may put myself at risk. I am in good health and have no physical condition, which would preclude me from safely receiving the Treatment.

SECTION 2. NO WARRANTIES REGARDING THE TREATMENT.

Schwartz Lymphatic Sculpt makes no representations or warranties about the Treatment(s), the suitability of the Treatment(s), or the effectiveness of the Treatment(s). I acknowledge this disclaimer of warranties by Schwartz Lymphatic Sculpt and further acknowledge that the results of the Treatment(s) may vary between customers. Nonetheless, I assume all related risks, both known or unknown to me, of my participation in the Treatment. I am aware that I may suffer physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or outcomes may arise from my own actions, inaction, or negligence. I acknowledge and agree that Schwartz Lymphatic Sculpt, in its sole discretion reserves the right to refuse the Treatment to me.

SECTION 3. MEDICATIONS.

Individuals who are using prescription drugs should seek the advice of their personal physician or a pharmacist for possible changes in the drugs effect when the body receives the Treatment.

SECTION 4. MEDICAL HISTORY AND CHANGE OF CIRCUMSTANCES.

I understand the importance of my accurate and complete medical history. I understand that withholding any medical information may be detrimental to my health and safety during and after the Treatment. I understand that if there is any change in my medical history it is my responsibility to inform Schwartz Lymphatic Sculpt.

SECTION 5. WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT.

I am fully aware of the risks and hazards connected with receiving the Treatment, including the risk of physical injury, disability as the result of such injury, or death, and I am voluntarily participating in said Treatment, and entering Schwartz Lymphatic Sculpt to receive the same. I agree to hold Schwartz Lymphatic Sculpt harmless and release Schwartz Lymphatic Sculpt from any and all claims, including attorney's fees, personal injury, or damage to my personal property, that may occur as a result of my participation in the Treatment.

SECTION 6. ASSUMPTION OF RISK.

I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY that may be sustained, or any loss or damage to property as a result of receiving the Treatment.

SECTION 7. INDEMNIFICATION AND HOLD HARMLESS.

I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damage or costs that may incur due to receiving of the Treatment by me.

It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assignees and personal representative, if I am not alive, and shall be deemed as a RELEASE, WAIVER, AND DISCHARGE of Schwartz Lymphatic Sculpt.

SECTION 8. MEDICAL COSTS.

I understand that the RELEASEES will not be responsible for any medical costs associated with any injury. If Schwartz Lymphatic Sculpt incurs any of these types of expenses, I agree to reimburse Schwartz Lymphatic Sculpt. If I need medical treatment, I agree to be financially responsible for any costs incurred as a result of such medical treatment. I am aware and understand that I should carry my own health insurance.

SECTION 9. CHOICE OF LAW AND VENUE.

I agree that this Agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, such invalidity will not affect any other provision that can be given full effect without the invalid provision. The laws of the State of California shall apply to and govern this Agreement, without regard to conflicts of laws principles, and I consent to the jurisdiction and venue of the federal, state and local courts located in Santa Barbara County, California. I agree that if any portion is held invalid or unenforceable, I will continue to be bound by the remaining terms.

SECTION 10. SIGNATURE, UNDERSTANDING AND CONSENT.

My signature below constitutes my acknowledgment that (1) I have read, understand, and fully agree to the foregoing consent, (2) the Treatment process has been satisfactorily explained to me and I have all of the information I desire and (3) I hereby give my authorization and consent. This consent shall stand as long as I receive the Treatment at the location now and in the future.

I have received the instructions for proper use of the facilities and do so at my own risk and hereby release the owners, operators, franchisers, or manufacturers, from any damage or harm that I might incur due to use of the facilities.

IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I have read and understand the foregoing RELEASE OF LIABILITY, WAIVER AND ASSUMPTION OF RISK AGREEMENT (BODY AND FACE TREATMENT); I am at least eighteen (18) years of age and fully competent; I have given up considerable future legal rights; and I execute this agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me.

Furthermore, I agree that I will comply with all instructions regarding the Treatment, and that I am receiving these services at my own risk. I agree to use all sessions within the terms of the contract dates and understand that refunds are not given on unused portions of purchased packages.

IF CLIENT IS UNDER 18 YEARS OF AGE

I am the parent or legal guardian of Client. I understand the legal consequences of signing this document, including (a) releasing Schwartz Lymphatic Sculpt from all liability on my and the Client's behalf, (b) promising not to sue on my and the Client's behalf, (c) and assuming all risks of the Client's participation in the Treatment(s). I allow Client to participate in the Treatment(s). I understand that I am responsible for the obligations and acts of Client as described in this document. I agree to be bound by the terms of this document. I have read this document, and I am signing it freely. No other representations concerning the legal effect of this document have been made to me.

Photography, Video & Imaging

Before-and-after and session-to-session photographs are commonly used in Brazilian lymphatic drainage to track fluid reduction, monitor swelling and skin changes, and confirm that treatment is progressing as expected. Photography is completely optional. Declining will not affect the care you receive, the length of your session, or your ability to book future appointments. You may change any answer below at any time.

Red Light Therapy (Photobiomodulation) - Informed Consent & Release

ABOUT THIS SERVICE

Red light therapy, also called photobiomodulation, uses low-level red and near-infrared light applied to the skin. It is offered here as a complementary wellness service alongside massage therapy.

Please understand:

Red light therapy is not a medical treatment and is not a substitute for diagnosis, examination, or treatment by a physician, physical therapist, or other licensed healthcare provider.

Your massage therapist is not a physician and does not diagnose conditions, prescribe treatment, or provide medical advice.

No specific result is promised or guaranteed. Individual responses vary, and some clients notice no change.

This service is offered at your request and may be declined or stopped by either of us at any time.

HEALTH SCREENING

MEDICATIONS AND SUPPLEMENTS

Some medications increase sensitivity to light, including certain antibiotics (tetracyclines, fluoroquinolones), acne medications and retinoids, diuretics, some antidepressants, NSAIDs, and St. John's Wort.

If you checked any box above, red light therapy will not be provided until you have discussed it with your physician and confirmed it is appropriate for you. Please tell your therapist before your session begins.

WHAT TO EXPECT AND POSSIBLE EFFECTS

Red light therapy is generally well tolerated. Possible effects can include warmth, mild redness, or tingling in the treated area; temporary eye discomfort, headache, or dizziness; skin irritation, rash, or a burn, particularly with photosensitivity or photosensitizing medication; and temporary flare-up of an existing skin or autoimmune condition.

Eye protection. Do not look directly at the light source at any time. Eye protection is provided and must be worn whenever the device is directed at or near your face or head. You may request eye protection during any session.

Tell your therapist immediately if you experience burning, stinging, pain, dizziness, visual changes, or any discomfort during your session. The session will be stopped.

YOUR RESPONSIBILITIES

By signing below, you confirm that you have provided complete and accurate information about your health, medications, and supplements, and will inform your therapist of any changes at future visits; understand you must report any discomfort during a session immediately; will follow all instructions regarding eye protection, positioning, and session duration; understand you should consult your physician about whether this service is appropriate for you, particularly if you have any condition listed above; and are not relying on any statement by the therapist as medical advice.

ASSUMPTION OF RISK AND RELEASE OF LIABILITY

I have read and understand the information above. I have had the opportunity to ask questions, and my questions have been answered to my satisfaction.

I voluntarily choose to receive red light therapy. I understand and accept that there are inherent risks in this service, including but not limited to skin irritation, burns, eye discomfort or injury, and aggravation of an existing condition, and that not all risks can be anticipated or eliminated.

I acknowledge that I have disclosed all relevant health information, and that failure to disclose a condition, medication, or supplement may increase my risk of an adverse reaction.

To the fullest extent permitted by law, I release and hold harmless Amanda Schwartz and Schwartz Sports Massage, and their employees, contractors, and agents, from any claim, demand, or cause of action arising from my voluntary participation in red light therapy - except for claims arising from gross negligence or willful misconduct.

I understand this consent remains in effect for future red light therapy sessions unless I revoke it in writing, and that I am responsible for reporting any change in my health, medications, or supplements before each session.