Waiver & Release of Liability

Waiver & Release of Liability

    I, acknowledge that I have voluntarily applied to participate in the following activities with My Pain Aid, LLC (“MPA”):


    AVACEN Thermo-Therapy Treatments and/or inHarmony Therapy Bed Treatments


    I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS, WHETHER THOSE RISKS ARE KNOWN OR UNKNOWN.

    I verify I’ve read this statement by placing my initials here:

    As consideration for being permitted by MPA, the State of California, the County of:
    (the “County”) , and any lessor of MPA (“Lessor”), to participate in these activities and the use of MPA devices, I forever release MPA, the State, the County, the Lessor, any fair affiliated organization, and their respective directors, officers, employees, volunteers, agents, contractors, and representatives (collectively “Releasees”) from any and all actions, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have, or may have in the future, for injury, death, or property damage, related to:

    • (i) my participation in these activities,

    • (ii) the negligence or other acts, whether directly connected to these activities or not, and however caused, by any Releasee, or

    • (iii) the condition of the premises where these activities occur, whether or not I am then participating in the activities.


    I also agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of any Releasee in connection with any of the matters covered by the foregoing release.



    I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A WAIVER & RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND MY PAIN AID, LLC., AND I SIGN IT OF MY OWN FREE WILL.



    Participant: