I understand the benefits and risks of soft tissue therapy and the use of recovery tools and give my consent to therapy. I will consult my practitioner with any questions or concerns immediately. I have stated or have notified my therapist of all known concerns that I am aware of and will keep my therapist informed of any changes. I understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the therapy session or facility use and I will be liable for payment of the scheduled appointment. I agree to provide 24-hour notice for any cancellation. If I fail to do so, I agree to pay the company-designated cancellation fee following their policy guidelines.

I have been informed of and acknowledge that participation in recovery equipment, therapy services, or physical exercise involving flexibility, strength, balance, agility, and aerobic exercise, including the use of equipment and devices, is a potentially hazardous activity. I have also been informed of and acknowledge that participation in therapy can be a test of a person’s physical and mental limits and that such participation and training pose potential risks of serious bodily injury or death.

I HEREBY ACCEPT THE RESPONSIBILITY FOR ANY HARM, INJURY, OR DAMAGE THAT MAY RESULT FROM MY PARTICIPATION IN EXERCISE, RECOVERY EQUIPMENT USE, SHOWER/LOCKER ROOM FACILITIES, INFRARED SAUNA, COMPRESSION THERAPY, MOBILIZATION TOOLS, OR ANY OTHER AMENITY OR SERVICE OFFERED AT KB WELLNESS CENTER.

I HEREBY WAIVE, RELEASE, ABSOLVE, INDEMNIFY AND AGREE TO HOLD HARMLESS KB WELLNESS CENTERS, ITS OFFICERS, EMPLOYEES, AND AFFILIATES FOR ANY CLAIM ARISING OUT OF ANY INJURY TO ME, WHETHER THE RESULT OF NEGLIGENCE OR ANY CAUSE. I VOLUNTARILY AND KNOWINGLY ACKNOWLEDGE, ACCEPT AND ASSUME THESE RISKS.

I have read this waiver and release of claims and covenant not to sue. I am aware that this is an agreement not to sue and constitutes a complete release of liability by me and by the program participant. I acknowledge that I am signing this document of my own free will, with full knowledge of the risks being assumed.

I agree to the following:

1. My participation in therapy and recovery tool access is strictly voluntary.


2. My participation in each and every exercise and activity within the wellness center is voluntary and I may choose not to participate, or limit my participation, in any exercise or activity at any time.


3. I am personally responsible for my own safety while participating in the wellness center. I will pace myself to maintain a level of participation that is safe and comfortable for me.


4. I will advise my therapist or staff of any changes in my physical or mental health prior to participation in each session.


5. My therapist or staff is available to answer any questions or concerns that I might have regarding my participation, activities, or safety.


6. I will seek further direction or explanation of anything that I do not fully understand, or that causes me concern.