RITUAL BIOHACKING CONFIDENTIAL NEW CLIENT FORM CRYOTHERAPY. SAUNA. PHOTOBIOMODULATION. WHOLE BODY VIBRATION. CAROL BIKE

Please select any conditions you have ever experienced or currently suffer from

 PLEASE note conditions in BOLD* mean that we are unable to treat you without a letter of consent from your Doctor.

Physical Capability Requirements 

Participation in a Whole Body Cryotherapy (WBC) session at Ritual Biohacking,involves exposure to extreme cold temperature for a short period of time (Not to exceed 3 minutes per session). The technician will be present during the entire duration of your session. Additionally, you are free to walk out of the Chamber at any time.  Different skin types respond differently to liquid nitrogen/cold – if at any stage you feel a burning sensation you must notify staff immediately. Any lotion, creams, fake tan must not be put onto skin within an hour of your session. 24 hours between cupping and Cryotherapy must be observed. The clothing you wear (socks, underwear) must be COMPLETELY DRY. Please notify staff if you have wet or sweat affected clothing on. 

Sauna sessions at Ritual Biohacking provide heat, near, mid and far infrared therapy. Underwear must ALWAYS be worn and towels used to sit on and put on the floor beneath you. 

Photobiomodulation (PBM) session  involves exposing your body to Red Light or Near infrared (NIR) light.  Both are in the natural light spectrum and have been clinically proven to enhance cellular function.  Eye protection isn’t necessary but we don’t recommend looking directly at the LEDs as it can be uncomfortable until your eyes are accustomed to the light. For this reason, we recommend closing your eyes or using the eye protection provided during the treatment protocol. 

CAROL Bike: An 8 minute 40 second workout. 3 times a week. This is cardio without the dread, thanks to the science of REHIT, or Reduced Exertion High-intensity Interval Training. CAROL’s AI guides and controls your workout. You don’t need to push any buttons or worry about finding the right resistance — every ride is calibrated to maximize your performance and results.

 Whole Body Vibration Platform  (WBV) produces vertical vibrations from a side-altering rocking movement. It is important to avoid WBV within one hour of meals. The WBV treatment should not exceed a maximum of 15 minutes and is not suitable for anyone with a pacemaker or for pregnant clients. If you feel distress, soreness or unusual discomfort while using the WBV machine, please tell your practitioner to stop the treatment immediately.

 

LIABILITY/MEDICAL RELEASE AND INDEMNIFICATION AGREEMENT

Disclaimer Clause

Although all care is taken and safety procedures are implemented beyond those of manufacturers standards, Ritual Cryotherapy, its employees, owners or agents are not responsible for any loss or damage suffered by or to any person resulting from, or related to the delivery of Cryotherapy.

By signing this form, I understand and agree that:

  1. This release is intended to discharge in advance Ritual Biohacking, its directors, officers, officials, employees, agents and volunteers from and against all liability arising out of or connected in any way with my participation in these activities. I am aware of the risks and hazards in participating in Cryotherapy, Sauna, CAROL Bike, Photobiomodulation and Whole Body Vibration as provided by Ritual Biohacking and acknowledge that participation is entirely voluntary. I understand that the use of Cryotherapy involves extremely cold conditions and that participation may involve risk of serious injury, illness, disability or death.
  1. Knowing the risks involved and the contraindications related, I nevertheless choose voluntarily to request permission to participate; I acknowledge being over 16 years of age and have read this Waiver Form and agree to be bound by this Release and Indemnity and accept the above Disclaimer Clause.
  1. I will indemnify and hold harmless Ritual Biohacking, its directors, owners, officers, officials, employees and volunteers 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;
  1. I am in good health, have no COVID symptoms or been exposed to possible COVID positive cases and have no physical condition expressed in the ‘Contraindications’ or otherwise which would preclude me from safely participating in such activities;
  1. I understand and agree that this release is intended to be as broad and inclusive as permitted under the law of the State in which it is executed and that if any portion of this Hold Harmless, 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.
  1. I agree that the therapist has detailed the process in receiving Cryotherapy, Photobiomodulation and Whole Body Vibration and that I have been provided the opportunity to seek further advice or ask relevant questions or participate in discussion, prior to treatment.
  1. Ritual Biohacking reserves the right to refuse treatment of any persons under the influence of drugs or alcohol and anyone who presents with any of the contraindications listed above.