Client Card

I confirm that the answers I have provided in this form are true and correct and that Face Yoga Clinic has relied on those answers in allowing me to utilise the facilities and services of the clinic and to participate in my chosen exercise program(s), treatment(s), or activity. I have provided all relevant information regarding my medical history and medical condition. I understand that it is my responsibility to consult with a qualified medical practitioner prior to and regarding my participation in my chosen exercise program(s), treatment(s), or activity. I represent and warrant that I have no medical condition that would prevent my participation in my chosen exercise program(s), treatment(s), or activity. If anything has changed since my last visit, I understand that it is my responsibility to notify of any changes that are relevant to my client card. I am aware and acknowledge that participation in the exercise program(s), treatments, or activities (including, but not limited to, facial treatments, body and face exercises and other treatments, or physical activities) requires some physical exertion of the body and face that may carry risk of physical discomfort, soreness, injury, harm or damage to my health and safety. If I have disclosed any illness or condition that put me at risk Face Yoga Clinic has the right to refuse to provide treatment(s), activities or exercises to me or refuse to allow me to participate in such programs, or activities unless and until I provide a medical clearance in an approved form from a qualified medical practitioner. I agree and consent that I am voluntarily participating in the Face Yoga Clinic exercise program(s), treatment(s), or activity. I am making use of the clinic and facilities of my own free will and I assume all risks associated with such use. By proceeding with a treatment, an activity or participating in an exercise program, regardless of the advice of Face Yoga Clinic, I agree that I am personally and unconditionally assuming full responsibility for any risks, injuries, harm, damage known or unknown which I might incur as a consequence of the treatment(s), exercise(s), activity or my participation in the program. Such injuries may include, but are not limited to, heart attacks, muscle strains, muscle pulls, muscle tears or any other illness or soreness. I release, discharge and indemnify Face Yoga Clinic and each of their respective officers, employees, agents, related entities, successors and assigns against any rights, claims or causes of action arising out of, or related to, my use of the facilities and services, including, but not limited to, my injuries or damages that I may sustain as a result of my participation in my chosen treatment(s), exercise program(s) or activity. I, my heirs or representatives forever release waive, discharge and covenant not to sue Face Yoga Clinic and each of their respective officers, employees, agents, related entities, successors and assigns for any injury by their negligence or other acts. I have read the above waiver and release of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.