MOBILITYSALON.COM, LLC - WAIVER and HOLD HARMLESS AGREEMENTThis COVID-19 MOBILITYSALON.COM, LLC WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT must be agreed to prior to confirmation of any appointment. Name* First Last Street Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date* MM slash DD slash YYYY COVID-19 WAIVER AGREEMENT* I acknowledge and agree to this WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENTMOBILITYSALON.COM, LLC WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT I understand that in order to have services provided to me by MobilitySalon.com, LLC and members of The Mobility Salon Squad during the ongoing pandemic, and any time thereafter, I hereby acknowledge and agree to the following: I understand the hazards of the novel coronavirus (“COVID-19”) and am familiar with the Centers for Disease Control and Prevention (“CDC”) guidelines regarding COVID-19. I acknowledge and understand that the circumstances regarding COVID-19 are changing daily and the CDC guidelines are regularly modified and updated, and I accept full responsibility for familiarizing myself with the most recent updates. Notwithstanding the risks associated with COVID-19, which I readily acknowledge and accept, I hereby willingly choose to access, and have services provided to me by MobilitySalon.com, LLC and members of The Mobility Salon Squad. I acknowledge and fully assume the risk of illness or death related to COVID-19 and hereby INDEMNIFY, RELEASE, WAIVE, DISCHARGE, COVENANT NOT TO SUE AND HOLD HARMLESS (on behalf of myself and any minor children or wards who are in my care and/or control) MOBILITYSALON.COM, LLC, its officers, directors, representatives, agents, members, employees and assigns (the “RELEASEES”) from any liability related to COVID-19 or any mutations thereof which might occur as a result my receiving services from MobilitySalon.com, LLC and members of The Mobility Salon Squad. I hereby indemnify, defend and hold harmless the RELEASEES from and against any and all claims, demands, suits, judgments, damages, losses or expenses of any kind whatsoever (including, without limitation, attorneys’ fees, costs and disbursements) arising from or out of, or relating to, directly or indirectly, the infection of COVID-19 or any other illness or injury. It is my express intent that this Waiver and Hold Harmless Agreement shall bind any assigns and representatives, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, AND COVENANT NOT TO SUE the above-named RELEASEES. This Agreement and the provisions contained herein shall be construed, interpreted and controlled according to the laws of the State of New York. I ACKNOWLEDGE AND REPRESENT that I have read this Wavier of Liability and Hold Harmless Agreement, understand it and agree to it voluntarily and of my own will; no other representations, statements, or inducements, apart from this written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same. PhoneThis field is for validation purposes and should be left unchanged.