THE GUILD OF MODERN WELLNESS

Our goal is to help you reclaim and maintain your health and well-being through safe and effective natural wellness services. To provide care tailored to your needs, it is important that you, as the client, read this document carefully and ask any questions before beginning your wellness services. 

**IN CONSIDERATION** for access to the services offered and provided by **CASA CALM, LLC d/b/a THE GUILD OF MODERN WELLNESS**, a Wisconsin limited liability company (“The Guild”), and use of the facilities of The Guild located at **21415 W. Greenfield Ave., New Berlin, WI 53146** (the “Facilities”), **THE UNDERSIGNED**, for himself or herself as an individual and on behalf of his or her personal representatives, heirs, assigns, and next of kin (“The Client”), hereby acknowledges and agrees to each of the following **TERMS** of this **INFORMED CONSENT**: 

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## 1. CLIENT ACKNOWLEDGMENTS, WARRANTIES, AND REPRESENTATIONS 

### 1.a. Activities and Services Covered 

The Client understands that the particular activities which the Client may voluntarily undertake at the Facilities involve, but are not limited to, physical wellness services and use of wellness equipment and amenities, whether staff-assisted or self-directed, including: 

* **Head Spa services**, including scalp massage, water-based treatments, steam, temperature variation, aromatherapy, vibration, and cleansing/exfoliation of the scalp and hair; 

* **Cold exposure therapies**, including **cold plunge**, ice bath, and/or **contrast therapy** (alternating hot and cold); 

* **Sauna and heat-based therapies**, including **dry sauna**, **infrared sauna**, and **ozone sauna**, and other heat exposure therapies involving elevated temperatures and/or extended time; 

* **Photobiomodulation and light therapies**, including **red light therapy**, **infrared light**, LED light therapies, and **TheraLight** (or similar) photobiomodulation treatments; 

* **Pulsed electromagnetic field therapies**, including **PEMF** treatments; 

* **Whole-body vibration therapies**, including **vibration plate** treatments and similar vibrational devices; 

* **Massage and mechanical bodywork**, including **full body massage chairs**, **zero gravity massage chairs**, thermal massage, mechanical massage, compression massage, and **vibroacoustic massage**; 

* **Acupressure therapies**, including use of **Migun acupressure beds** or similar mechanical acupressure systems; 

* **Molecular hydrogen therapies**, including **hydrogen inhalation**, ingestion of hydrogen-rich water, topical application, and/or immersion through hydrogen baths; 

* **Oxygen and ozone exposure**, including exposure to ozone and/or oxygen as part of ozone sauna services or other wellness applications; 

* **Sensory deprivation / float-style services** (if offered), including reduced sensory stimulation environments; 

* **Bioresonance and frequency-based wellness services** (if offered), including non-invasive energetic/bioresonance assessments or sessions; 

* **Exercise and movement-based activities**, including use of **rebounders**, stretching, breathing exercises, light aerobic activity, and other exercise or movement equipment provided at the Facilities. 

All such services and activities are referred to collectively as the **“Activities.”** 

### 1.b. Physical and Mental Condition / Ability to Participate 

The Client represents that he or she is in sufficient physical and mental condition and is able to independently engage in each of the Activities chosen, including getting on/off equipment safely, self-positioning or repositioning, and (when applicable) undressing or adjusting clothing for comfort and safety. 

### 1.c. No Medical Facility / No Emergency Care 

The Client understands that The Guild is not a health care facility, does not provide medical diagnosis or medical treatment, and does not provide emergency medical care. Medical or emergency assistance may not be immediately available in the event of injury, fainting, or a health event during participation in the Activities. 

### 1.d. Review of Contraindications 

The Client acknowledges having reviewed the definition of “Pre-Condition” below and has reviewed and/or discussed contraindications and precautions for desired Activities with a representative of The Guild prior to participation. 

### 1.e. Pre-Conditions and Contraindications (By Modality) 

The Client is not aware of any disability, diagnosis, impairment, treatment, medication, or other ailment (“**Pre-Condition**”) that would prevent participation in the Activities or that could be detrimental to the Client’s health, safety, comfort, or condition while participating. 

The Client understands that contraindications vary by individual and that the lists below are **not exhaustive**. 

#### (i) Cold Exposure Therapies (Cold Plunge / Ice Bath / Contrast Therapy) 

Pregnancy; cardiovascular disease; uncontrolled high blood pressure; history of heart attack or stroke; arrhythmias; fainting disorders or syncope; Raynaud’s disease or significant cold sensitivity; peripheral vascular disease; severe anemia; seizure disorders; recent surgery; open wounds; cold urticaria/cold allergy; autonomic instability; severe anxiety/claustrophobia triggered by cold exposure; any condition aggravated by cold exposure; **or any of the above without pre-approval from a medical doctor.** 

#### (ii) Sauna & Heat-Based Therapies (Dry Sauna / Infrared Sauna / Ozone Sauna / Heat Exposure) 

Pregnancy; uncontrolled high blood pressure; cardiovascular disease; history of heart attack or stroke; severe dehydration; hypotension or fainting disorders; heat sensitivity; inability to sweat normally; fever or acute illness; alcohol or substance impairment; certain medications that increase heat sensitivity or dehydration risk; uncontrolled diabetes; kidney disease requiring medical supervision; open wounds or active skin infections; **or any of the above without pre-approval from a medical doctor.** 

#### (iii) Ozone / Oxygen Exposure (Including Ozone Sauna) 

Pregnancy; severe respiratory conditions (including advanced COPD); uncontrolled asthma; significant airway sensitivity; active respiratory infection; acute chest pain; severe anemia; hyperthyroidism not under control; recent major surgery; any condition for which oxidative therapies are contraindicated; **or any of the above without pre-approval from a medical doctor.** 

#### (iv) Molecular Hydrogen Therapy (Hydrogen Inhalation / Hydrogen Water / Hydrogen Bath / Topical) 

Pregnancy or breastfeeding; severe respiratory conditions; uncontrolled asthma; active infections requiring medical supervision; recent major surgery; severe hypotension or dizziness disorders; concurrent medical gas or oxygen therapy without approval; any condition contraindicated for hydrogen therapy; **or any of the above without pre-approval from a medical doctor.** 

#### (v) Photobiomodulation / Red Light / Infrared / LED (Including TheraLight) 

Pregnancy; cancer or tumors (active or under treatment) unless approved by a medical provider; organ transplant; immune suppressant medication; steroid injection or treatment; open wounds or skin lesions; photosensitizing medications; seizure disorders such as epilepsy; known electrical sensitivity or electromagnetic hypersensitivity; **or any of the above without pre-approval from a medical doctor.** 

#### (vi) PEMF (Pulsed Electromagnetic Field) 

Pregnancy; pacemaker, defibrillator, cochlear implant, insulin pump, neurostimulator, or implanted electronic medical device; epilepsy or seizure disorders; active bleeding disorders; recent surgery or unhealed fractures; active cancer or tumors unless approved by a medical provider; severe cardiovascular conditions; metal implants or foreign bodies depending on device specifications; any condition contraindicated for electromagnetic exposure; **or any of the above without pre-approval from a medical doctor.** 

#### (vii) Whole-Body Vibration Plate (Vibration Plate / Similar Devices) 

Pregnancy; diabetes with complications such as neuropathy or retinal damage; recent surgery; pacemaker; epilepsy; migraines; cancer or tumors; herniated discs; spondylolisthesis or spondylolysis; joint replacements; metal pins or plates; acute inflammation; severe osteoporosis; **or any of the above without pre-approval from a medical doctor.** 

#### (viii) Mechanical Massage / Massage Chairs (Including Zero Gravity / Vibroacoustic / Compression) 

Pregnancy; uncontrolled high blood pressure; deep vein thrombosis (DVT) history or active clotting disorder; severe osteoporosis; recent surgery; acute injury or inflammation; severe neuropathy with reduced sensation; implanted medical devices affected by vibration or compression; severe pain of unknown origin; active cancer or tumors unless approved by a medical provider; **or any of the above without pre-approval from a medical doctor.** 

#### (ix) Mechanical Acupressure Beds (Migun / Similar Acupressure Systems) 

Pregnancy; severe osteoporosis; spinal instability; recent spinal surgery or acute disc injury; fractures; severe neuropathy or reduced sensation; uncontrolled pain of unknown origin; implanted medical devices or hardware where pressure is contraindicated; active cancer or tumors unless approved by a medical provider; **or any of the above without pre-approval from a medical doctor.** 

#### (x) Exercise & Movement-Based Activities (Including Rebounder) 

Pregnancy (especially later stages); balance disorders; uncontrolled dizziness or fainting; recent surgery; acute injury; severe joint instability; uncontrolled cardiovascular conditions; uncontrolled seizures; any condition aggravated by bouncing/impact or exertion; **or any of the above without pre-approval from a medical doctor.** 

#### (xi) Head Spa Treatments 

Pregnancy due to prolonged positioning or temperature exposure; recent head, neck, or spine injury; history of stroke, aneurysm, or traumatic brain injury; severe migraines or vertigo; seizure disorders; active cancer involving the head, neck, or brain; open wounds, lesions, infections, psoriasis flare, eczema flare, or severe dermatitis of the scalp; recent scalp surgery, hair transplant, or cosmetic procedures involving the scalp or face; sensitivity or allergy to essential oils, botanicals, shampoos, or topical products; severe cervical spine instability or disc disease; any condition aggravated by water exposure, reclining positions, vibration, or scalp stimulation; **or any of the above without pre-approval from a medical doctor.** 

#### (xii) Sensory Deprivation / Float-Style Services (If Offered) 

Pregnancy; uncontrolled epilepsy or seizure disorders; severe claustrophobia or panic disorders; severe vertigo; uncontrolled low blood pressure or fainting disorders; open wounds or active skin infections (where immersion or shared environments could pose risk); intoxication or impairment; **or any of the above without pre-approval from a medical doctor.** 

#### (xiii) Bioresonance / Frequency-Based Wellness (If Offered) 

Pregnancy; pacemaker/defibrillator/implanted electronic medical device; seizure disorders (if sensitive to stimulation); any condition for which exposure to electrical or frequency-based devices is contraindicated; **or any of the above without pre-approval from a medical doctor.** 

#### (xiv) SkinPen Microneedling (With or Without PRP) 

Pregnancy; autoimmune therapy; HIV or hepatitis; open wounds, sores, or skin lesions including herpes simplex; isotretinoin use within the last six months; cancer, including skin cancer; chemotherapy treatments within the past year; acute or chronic infections, sepsis; skin diseases such as lupus, porphyria, or severe allergies; severe metabolic or systemic disorders; abnormal platelet function or blood disorders; hemodynamic instability, hypofibrinogenemia, or critical thrombocytopenia; chronic liver disease; anticoagulation therapy; oral or systemic corticosteroid use within the prior two weeks; sunburn; spray tanning products or self-tanning lotions; **or any of the above without pre-approval from a medical doctor.** 

**The Client understands that these contraindications are not exhaustive and agrees to consult with a licensed medical provider prior to participation if uncertain whether any Activity is appropriate.** 

### 1.f. Disclosure Obligation 

Prior to undertaking any Activities, the Client has disclosed to The Guild all known Pre-Conditions and agrees to disclose any newly discovered Pre-Conditions. This disclosure obligation is ongoing for the duration of the Client’s participation in the Activities or use of the Facilities. 

### 1.g. No Guarantees / Wellness Services Only 

The Client understands that The Guild makes no guarantees, representations, or warranties of any kind regarding availability of services or facilities, outcomes, or results. The Activities are wellness-based services intended to support general well-being only and are not intended to diagnose, treat, cure, or prevent any disease, nor to replace medical care from a licensed healthcare provider. 

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## 2. RELEASE OF LIABILITY 

The Client hereby releases, waives, discharges, and releases The Guild and its affiliates, directors, officers, agents, employees, and assigns (“Releasees”) from any and all liability for loss, damage, injury, illness, or death arising out of or related to participation in the Activities, to the fullest extent permitted by Wisconsin law, except for intentional or willful misconduct. Under no circumstances shall The Guild be liable for indirect, incidental, consequential, or special damages. The Guild’s total liability, if any, shall be limited to the amount actually paid by the Client for the services rendered. 

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## 3. INDEMNIFICATION 

The Client agrees to indemnify and hold harmless the Releasees from any liability, claim, or expense arising out of or related to the Client’s participation in the Activities, to the fullest extent permitted by Wisconsin law. 

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## 4. ASSUMPTION OF RISK 

The Client accepts and assumes full responsibility for all risks of bodily injury, illness, death, or property damage arising out of or related to participation in the Activities. The Client agrees to act within personal limits, follow all instructions and contraindications, maintain control of personal movements and equipment, and refrain from conduct that may cause injury to self or others. The Client agrees to promptly notify staff of any discomfort or adverse sensations. 

Potential after-effects may include, but are not limited to: redness; swelling; heat or cold sensitivity; pain or soreness; lightheadedness or dizziness; headache; fatigue or deep relaxation; scalp tenderness or irritation; temporary hair shedding; increased bowel movements or urination; detox-like symptoms such as nausea or flu-like sensations; increased appetite following treatments; changes in sleep; emotional release; or other temporary effects. 

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## 5. OPPORTUNITY TO ASK QUESTIONS 

Prior to signing this Informed Consent, the Client has had the opportunity to contact a representative of The Guild to ask questions, seek clarification, and discuss the terms set forth herein. 

Having read and fully understood this Informed Consent and understanding the rights voluntarily waived, the Client agrees to the terms herein by electronic signature below, without undue pressure or inducement. 

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