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Client Waiver
When Yoni steams should be avoided:
• If you are pregnant or there is a possibility of pregnancy
• During or after ovulation if you are trying to conceive
• During menstruation
• With any open wounds, sores, blisters or stitches
• If you have a vaginal infection or fever
• Piercings will need to be removed
Caution:
• If you have an IUD

Please read and sign
I verify that all information is correct and current to the best of my knowledge. I understand that any information provided is for safety purposes and will be kept strictly confidential, except that such information may be used by Victory V, LLC for statistical analysis or scientific purposes.
I hereby give my consent to receive vaginal steaming services (the “Services”) from Victory V, LLC, and I acknowledge and agree that I am doing so at my own risk. My health and safety with respect to such Services are my sole responsibility. My decision to receive Services from Victory V, LLC is voluntary, and I know of, understand and assume any and all the risks associated therewith.
In exchange for receiving Services from Victory V, LLC, I, for myself and on behalf of my heirs, executors, administrators and personal representatives, hereby waive, release, discharge and hold harmless Victory V, LLC, its members, officers, employees and agents from any and all liability for any and all injuries, including death, damages or claims relating to or resulting from my receipt of the Services, now or in the future, foreseen or unforeseen.
I acknowledge that I have read, and understand, the release and indemnification provisions set forth in the preceding paragraph, and agree to such terms.

***My printed name and date below represent my signature.

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