Please Sign the Waiver Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Signature * Clear Signature Confirmation *I have carefully read and understand this waiver and release of liability, and I voluntarily agree to its terms.WAIVER Salt Mind / Salt Room – Waiver - I hereby acknowledge and agree to the following terms and conditions related to my participation in the Salt Mind / Salt Room experience provided by Salt Mind at 100 Gorham Rd, South Portland, Maine. Assumption of Risks: I understand that the Salt Room experience involves exposure to salt aerosol, which may have potential health benefits but also carries inherent risks. These risks include, but are not limited to, respiratory discomfort, irritation, or allergic reactions. (Any participant with any condition impacted by salt should check with their physician before visiting the Salt Mind / Salt Room.) Health Status: I certify that I am in good health and do not have any pre-existing medical conditions that may be exacerbated by the Salt Room experience. I acknowledge that if I have any respiratory conditions, allergies, or other health concerns, it is my responsibility to consult with a healthcare professional before participating. I understand that salt therapy is not recommended for individuals with severe respiratory issues, third stage COPD, severe hypertension, later stage lung cancer, heart problems, infectious disease, acute fever, or active tuberculosis, open wounds and sores, contagious conditions and pregnancy. Please consult your physician for more information. Voluntary Participation: I acknowledge that my participation in the Salt Room experience is voluntary, and I have chosen to participate of my own free will. I understand that I may choose to discontinue participation at any time if I experience discomfort or any adverse effects. Release of Liability: In consideration of being permitted to participate in the Salt Room experience, I hereby release, waive, discharge, and covenant not to sue Salt Mind, Zacamy Group LLC, Restore Hyper Wellness, all employees, agents, and affiliates from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including but not limited to bodily injury, illness, or property damage, that may be sustained by me as a result of my participation. Indemnification: I agree to indemnify and hold harmless Salt Mind, Zacamy Group LLC, Restore Hyper Wellness Corporate, its owners, employees, agents, and affiliates from all claims, liabilities, damages, costs, or expenses, including attorney fees, arising out of or related to my participation in the Salt Mind / Salt Room experience. Submit