CULTURE OC CONSENT FORM

This Consent Form (the "Agreement") is entered into between the undersigned client ("Client"), or the Client’s legal guardian if the Client is under the age of 18, and Culture OC, for the purpose of participating in various wellness services and therapies offered by Culture OC. By signing this Agreement, the Client acknowledges and accepts all associated risks and releases Culture OC from liability as outlined below.

SERVICES COVERED UNDER THIS AGREEMENT The Client acknowledges and consents to participate in one or more of the following therapies provided by Culture OC:

• Infrared Sauna

• PEMF Therapy (Pulsed Electromagnetic Field Therapy)

• BrainTap

• Red Light/LED Therapy

• Hyperbaric Oxygen Therapy

• Float Pod Therapy

• Cold Plunge/Breathwork

Each of these therapies is designed to promote health and wellness but may carry inherent risks, as outlined in this Agreement. The Client voluntarily assumes all risks associated with participation.

CANCELLATION POLICY

• Appointments must be canceled or rescheduled at least 24 hours in advance.

• Late cancellations will incur a 50% charge of the service cost.

• No-shows will be charged 100% of the service cost.

GENERAL GUIDELINES

• Arrive at least 10 minutes prior to the scheduled appointment.

• Maintain personal hygiene and follow the facility’s dress code.

• Adhere to all posted rules and follow staff instructions.

• Provide feedback to improve service quality.

THERAPY-SPECIFIC ACKNOWLEDGMENTS, PREPARATION & RISKS The Client understands and agrees to the following therapy-specific acknowledgments:

PEMF Therapy:

• Purpose: Cellular healing, pain/inflammation reduction.

• Preparation: Remove any metal accessories, electronic devices, and magnetic-sensitive items before use.

• Risks: Minor discomfort, tingling; not recommended for individuals with electronic implants, epilepsy, or photosensitivity.

BrainTap:

• Purpose: Enhances mental clarity and relaxation through guided meditation and light/sound stimulation.

• Preparation: Remove any headwear or accessories that could interfere with the headset.

• Risks: Minimal; consult staff if history of seizures or other neurological concerns.

Red Light Therapy:

• Purpose: Stimulates tissue repair, reduces inflammation, and promotes skin rejuvenation.

• Preparation: Remove all facial creams and makeup using water wipes before using the LED light therapy panel.

• Risks: Temporary warmth or mild skin sensitivity; protective eyewear provided.

Infrared Sauna Therapy:

• Purpose: Supports detoxification, improves circulation, and aids relaxation.

• Preparation: Hydrate well before the session; wear loose, breathable clothing or provided towels.

• Risks: Dehydration, overheating; consult a doctor if cardiovascular issues or pregnancy.

Hyperbaric Oxygen Therapy:

• Purpose: Enhances oxygen delivery to tissues, promoting healing.

• Preparation: Wear comfortable clothing and avoid heavy meals before the session.

• Risks: Ear discomfort, temporary vision changes, claustrophobia; not suitable for those with uncontrolled hypertension or respiratory/seizure disorders.

Float Pod Therapy:

• Purpose: Deep relaxation via sensory deprivation in a buoyant saltwater environment.

• Preparation: Avoid shaving or waxing 24 hours prior; shower before entering; remove all lotions and hair products.

• Risks: Not advised for individuals with open wounds, recent hair treatments, or active skin conditions.

Cold Plunge/Breathwork:

• Purpose: Stimulates circulation and recovery through cold water exposure.

• Preparation: Hydrate well before the session; avoid heavy meals prior; wear appropriate swimwear.

• Risks: Shock, hypothermia, muscle cramps; Client must confirm good health and follow safety guidelines.

CONFIDENTIALITY All personal and health information provided by the Client is kept confidential and securely stored in compliance with applicable privacy laws. Information will not be disclosed without Client consent, except where required by law.

CANCELLATION, RESCHEDULING, AND REFUND POLICY

This policy is a material term of this Agreement. By booking any service, Client authorizes Culture OC to charge the credit card on file for any applicable fees

described below.

Notice Requirement:

To avoid fees, Client must provide at least 12 hours’ advance notice (via phone, text, or email to the studio) to cancel or reschedule any

appointment. Notice is measured from the scheduled start time of the session.

Late Cancellation Fee:

Cancellations or reschedules made with less than 12 hours’ notice will incur a 15% late cancellation fee calculated on the full cost of the specific

therapy/service booked. This fee compensates for reserved time and preparation.

No-Show Policy (New Clients / New Bookings):

For no-shows on new bookings by new clients, a 50% charge of the full service cost will be applied to the credit card on file. This reflects the

significant impact of last-minute unavailability on scheduling and operations.

Credit Card on File:

When making a booking, Client provides and authorizes Culture OC to securely store a valid credit card on file. This card will be used for any

applicable late cancellation, no-show, or other authorized charges under this policy. Client agrees to maintain a valid card on file and authorizes

these charges without further notice.

Rescheduling:

Rescheduling follows the same notice rules as cancellation. Changes made with less than 12 hours’ notice are treated as late cancellations and

subject to the 15% fee (the original appointment is released, and a new booking is required).

Refunds & Exceptions:

No refunds are issued for late cancellations, no-shows, or services not used. In rare cases of documented medical emergency or extreme

circumstances (at Culture OC’s sole discretion), fees may be waived or credited toward a future session. Contact the studio immediately if an issue

arises. Package or membership sessions follow the same policy unless otherwise stated in the membership agreement.

This policy ensures fairness to all clients and allows us to maintain high-quality, timely service. We appreciate your understanding and cooperation.

VOLUNTARY PARTICIPATION & WAIVER OF LIABILITY

• I understand that I am voluntarily participating in the therapies offered by Culture OC and acknowledge the potential risks involved.

• I confirm that I am in good health or have consulted with a healthcare provider regarding participation.

• I assume full responsibility for any injury, loss, or damages resulting from my participation.

• I waive, release, and hold harmless Culture OC, its owners, staff, and affiliates from any and all liability, claims, or demands arising out of my participation, except in cases of gross negligence or willful misconduct.

• I understand that these services are not a substitute for professional medical treatment or diagnosis.

LEGAL GUARDIAN CONSENT (FOR CLIENTS UNDER 18) If the Client is under the age of 18, a parent or legal guardian must sign below: