By my signature below, I acknowledge that I have read the following, understand it and agree to the terms:
No one has made any representations or claims to me of any treatment or cure of any disease or condition; or any promise of any specific or general results of any kind regarding treatments on myself or on the horse I own or am in control of. I release from all general, medical and any other liability or claims of any kind; and, I indemnify and hold harmless, __________________ and its respective officers, directors, agents, servants, employees, divisions, subsidiaries, shareholders, partners, members, affiliated companies, successor and assigns, the magnetic pulse generator, the manufacturer, distributor, dealer and any of their employees or agents, (the "Company") from any claim arising from or related to my use of the magnetic pulse generator. Should anyone acting on Signatory's behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold harmless the Company, for all such fees and costs. I agree that this liability shall be interpreted and governed by the laws that the attending Practitioner resides in at the time of treatment.
I also grant permission to __________________ and it's registered Practitioners to Publish pictures & videos of myself on all related websites, social media sites, in promotional videos, press releases, or any other form of public publicity.