I hereby knowingly and voluntarily enter into this WAIVER AND RELEASE OF LIABILITY, waiving any and all rights, claims, or causes of action of any kind arising out of my participation in the Activity. I confirm that I am participating in the Activity voluntarily and am aware that it simulates vigorous or high-intensity exercise. * *

I agree

Are you currently experiencing or have medical history of any of the medical conditions listed below: *

Fever or recent Acute Injury

High (untreated) Blood Pressure

Current Lymphedema

History or Fainting or Seizures

Untreated Deep Vein Thrombosis

History of Clots and you are not on anticoagulants

Acute Numbness, pain or edema in an extremity

Your doctor has advised you against vigorous exercise

You are currently recovering from sickness, injury or surgery

You have had an armpit lymph surgery or mastectomy and have been told not to apply a Blood Pressure Cuff

You have a catheter in your extremity

You are pregnant

You have Sickle Cell Anemia or other Blood Clotting Disorders

None of the above

THIS WAIVER AND RELEASE OF LIABILITY SHALL REMAIN IN EFFECT FOR THE DURATION OF MY PARTICIPATION IN THE ACTIVITY, AND ALL SUBSEQUENT EVENTS OF PARTICIPATION. *

I agree

The use of my typed signature for this electronic waiver and contract shall have the same legal effect, validity and enforceability as a manually executed signature or use of a paper-based record-keeping system to the fullest extent permitted by applicable law. *

First Name

Last Name

I agree to have my credit card charged $50 per month for six months, totaling $300, for the purchase of B3 Blood Flow Restriction Bands (B3 Bands). *

The discounted price of the B3 Bands is valid only while I am an active paying member of Seli Strength. If I cancel my membership before six months, I must return the bands in working condition within 10 days of cancellation or pay the remaining balance up to $450, minus any payments already made. No refunds will be issued for previous B3 Band payments. If the bands are returned within 10 days in working condition, no further payments will be charged.

I agree

The use of my typed signature for this electronic waiver and contract shall have the same legal effect, validity and enforceability as a manually executed signature or use of a paper-based record-keeping system to the fullest extent permitted by applicable law. *

First Name

Last Name

Date *

MM

DD

YYYY