Waiver and Release of Liability 

In agreeing to receive care provided by Holistic Massotherapy & Wellness LLC (“HMW Physical Therapy”) and to use the facilities provided therefore by Holistic Massotherapy & Wellness LLC I agree as follows: 

I fully understand and acknowledge that (a) the activities in which I will engage as part of the treatment provided by Holistic Massotherapy & Wellness and the physical therapy activities and equipment I may use as a part of that treatment have inherent risks, dangers, and hazards and such exists in my use of any equipment and my participation in these activities; (b) my participation in such activities and/or use of such equipment may result in injury or illness including, but not limited to bodily injury, disease, strains, fractures, partial and/or total paralysis, death or other ailments that, could cause serious disability; (c) these risks and dangers may be caused by the negligence of the representatives or employees of Holistic Massotherapy & Wellness, the negligence of the participants, the negligence of others, accidents, breaches of contract, or other causes. By my participation in these activities and for use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages whether caused in whole or in part by the negligence or the conduct of the representatives or employees of Holistic Massotherapy & Wellness. 

I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend, and indemnify Holistic Massotherapy & Wellness and their representatives, employees, and assigns from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of any equipment or participation in these activities. I specifically understand that I am releasing, discharging, and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the representatives or employees of Holistic Massotherapy & Wellness.