COLD PLUNGE
RELEASE, WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT
I, the participant, (“Releasor/Participant”), understand that in participating in ice baths (collectively
referred to as “Activities”) offered by Reps and Restore (“Releasees/Facilitator”), I agree to the following:
SERVICES & DISCLOSURE.
I understand that breathwork and Activities offered by Releasees are designed to enhance quality of life and
support holistic wellbeing, and are not intended to constitute medical advice or any substitution for medical
care. I understand that Activities are not intended to be relied upon for diagnosis or treatment in relation to
any health problem, and services of the Facilitator do not replace the care of licensed professionals.
MEDICAL DISCLAIMER & CONTRAINDICATIONS.
I understand that breathwork and Activities may catalyze strong emotional and physical responses. I
understand that I may find the Activities physically, emotionally, or mentally stressful, and that breathwork
and Activities are not safe under certain medical conditions and not advised for persons with a
history of cardiovascular disease or prior heart attack, Raynaud’s Syndrome, kidney disease,
epilepsy or seizures, severe asthma, bipolar disorder, schizophrenia, dissociative disorders, history
of significant trauma, and during pregnancy.
I hereby state that I am not pregnant, and if any of the above conditions apply to me, I will advise the
Facilitator prior to participation. I understand that the Facilitator is not qualified to evaluate my fitness for
involvement in the Activities, and that I am fully responsible for seeking medical help to treat all symptoms
that are present before and after the Activities. I hereby state that I am physically and mentally fit to
participate in Activities, and understand that it is solely my responsibility to seek professional support after
Activities if I feel unstable mentally or emotionally. I knowingly waive any claim I may have against the
Releasees for injury or damages that I may sustain as a result of participating in Activities.
RISKS.
I understand and acknowledge that the Activities in which I am participating in bear certain known inherent
risks that contribute to the unique character of these Activities, and that Facilitator cannot eliminate, alter, or
control these inherent risks. “Risks” include, but are not limited to, known and unknown health conditions,
inaccessibility to immediate medical attention, risks inherent in breathwork that include, but are not limited to,
over-exertion, psychological distress and disorientation, hyperventilation, respiratory alkalosis, muscle
spasms, chest pain, hypothermia, afterdrop, numbness, heart attack, death, and injury or death caused by
negligence on the part of Participant or other people around Participant.
I hereby expressly and specifically assume the risk of injury or harm, and agree that my involvement in
Activities is purely voluntary, and that I elect to participate in spite of the Risks.
CONFIDENTIALITY.
I understand that unless otherwise explicitly stated, Activities offered will be recorded or shared, and
photograph(s), video(s), or audio(s) may be taken for marketing purposes or otherwise.
Consent for photo/video will be requested prior to these events, and will be requested strictly for personal use
by the Participant. I understand that information shared with the Facilitator is privileged communication and
strong ethical standards of confidentiality are maintained. I understand that in voluntarily revealing
personal information in group Activities, rights of privacy and confidentiality are waived and cannot
be guaranteed. I also understand that confidentiality may be waived, without consent, if there is imminent
danger to yourself or others, or there is occurrence of child, elder, or dependent adult abuse or neglect. I will
refer to the Company’s PRIVACY POLICY for information about how personal data is collected, stored, and
used when registering for Activities or Company’s newsletter.
PERSONAL PROPERTY.
I understand that any items the Participant brings to Activities (camera, cell phone, other personal
electronics, clothing, jewelry, etc.) are the responsibility of the Participant, and the Facilitator is in no way
responsible for lost, missing, stolen or damaged items.
METHODOLOGY, WARRANTIES, & OUTCOMES.
I agree to be open minded to Facilitator’s methods and partake in Activities and services as proposed and
instructed. I understand that Facilitator has made no guarantees as to the outcome of Activities, and that
information and testimonials presented before, during, or after Activities do not constitute a warranty of
specific outcomes.
LIMITATION OF LIABILITY.
By using the Facilitator’s services and Activities, I accept any and all risks, foreseeable or non-foreseeable,
arising from such transaction. I agree that Facilitator will not be held liable for any damages of any kind
resulting or arising from including but not limited to; direct, indirect, incidental, special, negligent,
consequential, or exemplary damages happening from participation in Activities or use of materials provided.