Kinga’s Organic Medi SpaClient Waiver 135 Banffshire Crescent, Kitchener, Ontario | 226-978-9205 Release of Liability, Waiver of all Possible Claims and Assumption of Risk **Please review before signing** I hereby acknowledge that I have agreed to meet with Kinga Nemes at Kinga’s Organic Medi Spa – 135 Banffshire Cres. Kitchener, Ontario (the “Facility”) for the purpose of receiving aesthetic and/or laser services (the “Services”). * I acknowledge and accept that there is a risk that I could be exposed to COVID-19 while attending at the Facility. I also acknowledge and accept that while receiving services, the Kinga Nemes may need to be closer than the recommended social distancing guidelines in order to assess and/or treat me. I acknowledge and confirm that I am willing to accept this risk as a condition of attending at the Facility to receive services from the Kinga Nemes. In consideration of the Kinga Nemes agreeing to see me in person at the Facility, I agree to release the Kinga Nemes and the Facility (if applicable), their officers, directors, employees, agents and volunteers (the “Releasees”) from any and all causes of action, claims, demands, requests, damages or any recourse whatsoever in respect of any personal injuries or other damages which may occur or arise as a result of exposure to COVID-19 during my visit to the Facility and/or through the provision of services to me by the Kinga Nemes. I do hereby acknowledge and agree that notwithstanding the generality of the foregoing, I declare that I will not commence litigation or otherwise seek to recover damages or other compensation against the Releasees based on any action, claim, demand, request, loss or any recourse whatsoever arising from any potential or actual exposure to COVID-19 while attending at the Facility and/or through the provision of services to me by the Kinga Nemes. I further acknowledge that the Releasees can rely on this Release of Liability, Waiver of all Possible Claims and Assumption of Risk as a complete defence to any and all claims, damages, causes of action, or recourse or liability that may arise at any time. I have carefully reviewed this Release of Liability, Waiver of all Possible Claims and Assumption of Risk and acknowledge that I fully understand the terms as set out above. I acknowledge that I am signing this Release of Liability, Waiver of all Possible Claims and Assumption of Risk voluntarily. Digital Signature * First Name Last Name Today's Date * MM DD YYYY Thank you for completing the waiver electronically.