General Release of Liability
I, (signer of this form listed below), on this day (current date listed below) intending to be legally bound hereby, the undersigned agrees and does hereby release from liability and to indemnify and hold harmless
ELEVATE INFUSIONS and employees or agents representing or related in regards to my health, my results, any other accident, or unexpected outcome.
This release is for any or all liability for personal injuries (including death)
property losses or damages occasioned by or in connection with the person or entity being released.
The undersigned fully agrees to abide by all the rules and instructions given by ELEVATE INFUSIONS, and its affiliate groups and vendors.