Registration

RELEASE OF LIABILITY
AND ASSUMPTION OF RISK
The individual named below (referred to as “I” or “me”) desires to participate in the Training Services offered by the Training Provider (as
hereafter defined) (the “Activity”) provided by MED-SURG AESTHETICS AND LASER ACADEMY, LLC, an Arizona limited liability company (the
“Training Provider”) pursuant to the terms of the Student Agreement to which this Release of Liability and Assumption of Risk is attached as an
exhibit. In consideration of being permitted by the Training Provider to engage in the Activity and in recognition of the Training Provider’s
reliance hereon, I agree to all the terms and conditions set forth in this agreement (this “Release”).
I am aware and understand that the Activity is a potentially dangerous activity and involves the risk of serious injury, disability,
death, and/or property damage. I am also aware of the highly contagious nature of bacterial and viral diseases, including the 2019 novel
coronavirus disease (COVID-19) (collectively, the “Disease”) and the risk that I may be exposed to or contract the Disease by engaging in the
Activity, which may result in serious illness, personal injury, disability, death, and/or property damage. I acknowledge that these risks may
result from or be compounded by the actions, omissions, or negligence of Company employees or others, including negligent emergency
response or rescue operations of the Training Provider. I understand that the Training Provider cannot guarantee that I will not be injured or
become infected with the Disease or other infectious diseases, nor that I will not suffer other injury to my person and/or property due to my
participation in the Activity. NOTWITHSTANDING THESE RISKS, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY
WITH KNOWLEDGE OF THE DANGERS INVOLVED. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF INJURY, ILLNESS, DISABILITY, DEATH,
AND/OR PROPERTY DAMAGE ARISING FROM THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE TRAINING PROVIDER OR
OTHERWISE.
I hereby expressly waive and release any and all claims, now known or hereafter known, against the Training Provider, and its
officers, manager(s), employees, agents, affiliates, members, successors, and assigns (collectively, “Releasees”), on account of injury, illness,
disability, death, or property damage arising out of or attributable to the Activity, whether arising out of the ordinary negligence of the Training
Provider or any Releasees or otherwise. I covenant not to make or bring any such claim against the Training Provider or any other Releasee, and
forever release and discharge the Training Provider and all other Releasees from liability under such claims. This waiver and release does not
extend to claims or liabilities that Arizona law does not permit to be released by agreement.
I confirm that I am: (a) in good health, in proper physical condition, and do not have any medical or other conditions that would
impair my ability to participate in the Activity; and (b) not experiencing symptoms of the Disease (such as cough, shortness of breath, or fever),
do not have a confirmed or suspected case of the Disease, and have not come in contact in the last 14 days with a person who has been
confirmed to have or suspected of having the Disease. I will comply with all federal, state, and local laws, orders, directives, and guidelines
related to the Activity and the Disease while participating in the Activity, including, without limitation, requirements related to hand sanitation,
social distancing, and use of face coverings and safety equipment. I will also follow all instructions, recommendations, and cautions of the
Training Provider at all times during the Activity. If at any time I believe conditions to be unsafe, that I am no longer in proper physical condition
to participate in the Activity, or I begin experiencing symptoms of the Disease, I will immediately discontinue further participation in the
Activity.
I shall defend, indemnify, and hold harmless the Training Provider against any and all losses, damages, liabilities, deficiencies, claims,
actions, judgments, settlements, interest, awards, penalties, fines, costs, or expenses of whatever kind, including reasonable attorney fees,
fees, the costs of enforcing any right to indemnification under this Release, and the cost of pursuing any insurance providers, incurred by the
Training Provider arising out or resulting from any claim of a third party related to my participation in the Activity, including any claim related to
my own negligence or the ordinary negligence of the Training Provider.
I hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation
in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical
transportation and/or evacuation. I hereby release, forever discharge, and hold harmless the Training Provider from any claim based on such
treatment or other medical services.
This Release constitutes the sole and entire agreement of the Training Provider and me with respect to the subject matter contained
herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral,
with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such
invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such
term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of the Training Provider and me and our
respective successors and assigns. All matters arising out of or relating to this Release shall be governed by and construed in accordance with
the internal laws of the State of Arizona without giving effect to any choice or conflict of law provision or rule (whether of the State of Arizona
or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in
Maricopa County, Arizona and I hereby consent to the exclusive jurisdiction of such courts

I HEREBY DECLARE MY INTENT TO ENROLL IN AN EDUCATIONAL PROGRAM PROVIDED BY MED-SURG AESTHETICS AND LASER ACADEMY WITH THE TARGETED START DATE LISTED ON THE PROGRAM PAGES. I UNDERSTAND THAT MY DESIRED START DATE MEY NOT BE AVAILABLE. IFURTHER UNDERSTAND THAT PAYMENT IN FULL OR DOCUMENTED PAYMENT PLAN AGREEMENT ALONG WITH REGISTRATION PAPERWORK AND MY NON-REFUNDABLE REGISTRATION FEE MUST BE RECEIVED FOR REVIEW 30 DAYS PRIOR TO THE START OF MY COURSE AND THAT THE FEE WILL BE APPLIED TOWARD MY TUITION ONCE ENROLLED. I AM AWARE THAT IF I DO NOT SHOW UP FOR MY CLASSES ORADHERE TO THE ATTENDANCE POLICY IN THE STUDENT HANDBOOK, I WILL BE EXCUSED FROM THE SCHOOL, AND I WILL FORFEIT ALL MONIES PAID.
PAYMENT MUST BE MADE IN FULL, OR FINANCING SECURED 30 DAYS PRIOR TO THE SCHEDULED TRAINING. IF FINANCIALS ARE NOT IN ORDER PRIOR TO THE SCHEDULED TRAINING, YOU WILL BE AUTOMATICALLY MOVED TO THE NEXT AVAILABLE TRAINING DATE.

IF YOU HAVE BEEN INVOICED, PAYMENT IN FULL MUST BE RECEIVED 30 DAYS PRIOR TO THE SCHEDULED TRAINING OR THE TRAINING WILL BE CANCELED, AND PRE-PAYMENT WILL BE REQUIRED TO RESCHEDULE. WE BLOCK OUR TIME FOR TRAINING COURSES AS THEY ARE SCHEDULED, AND GREAT TIME AND CARE IS TAKEN TO PREPARE SO WE CAN MEET AND EXCEED YOUR INDIVIDUAL TRAINING NEEDS. PROMPT PAYMENT ALLOWS US TO OFFER YOU THE BEST POSSIBLE TRAINING EXPERIENCE. THANK YOU SO MUCH FOR YOUR UNDERSTANDING AND COMPLIANCE WITH OUR PAYMENT POLICIES.

I PLEDGE TO ADHERE TO THE RULES, REGULATIONS, AND REQUISITES SET FORTH IN THE STUDENT HANDBOOK. I WILL DEFER TO THE DIRECTOR OF THE SCHOOL IN CIRCUMSTANCES NOT COVERED IN THE MED-SURG AESTHETICS AND LASER ACADEMY HANDBOOK. I WILL NOT UTILIZE ANY PROPERTY OR EQUIPMENT UNLESS SUPERVISED BY A MED-SURG AESTHETICS AND LASER ACADEMY STAFF MEMBER. I WILL USE APPROPRIATE CAUTION WHILE USING ANY EQUIPMENT DURING HANDS-ON TRAININGS. I WILL RESPECT MY FELLOW STUDENTS, AND THE STAFF OF MED-SURG AESTHETICS AND LASER ACADEMY. SHOULD I HAVE ANY PERSONAL OR PROFESSIONAL DIFFICULTY DURING MY ENROLLMENT, I WILL SEEK THE ADVISEMENT OF A MED-SURG AESTHETICS AND LASER ACADEMY STAFF MEMBER. MED-SURG AESTHETICS AND LASER ACADEMY RESERVES THE RIGHT TO EXCUSE ME FROM MY COURSE SHOULD I ACT IN A MANNER THAT IS CONSIDERED DANGEROUS OR DISRUPTIVE TO MYSELF OR OTHERS. I UNDERSTAND THAT CERTIFICATION FOR ALL PROGRAMS IS BASED ON HOURS COMPLETED AND FAILURE TO SATISFY HOUR REQUIREMENTS FOR THE PROGRAM IN WHICH I AM ENROLLED, WITHIN THE ALLOTTED TIMEFRAME, WILL RESULT IN THE DENIAL OF CERTIFICATION. I UNDERSTAND THAT CHANGES TO THIS OR ANY CONTRACT ENTERED INTO WITH MED-SURG AESTHETICS AND LASER ACADEMY WILL NOT BE RECOGNIZED UNLESS MADE IN WRITING AND SIGNED BY BOTH THE STUDENT AND AN AUTHORIZED REPRESENTATIVE OF MED-SURG AESTHETICS AND LASER ACADEMY. IN THE EVENT THAT I DEFAULT IN THE PAYMENT OF FUNDING, I UNDERSTAND THAT MED-SURG AESTHETICS AND LASER ACADEMY RESERVES THE RIGHT TO TERMINATE MY ENROLLMENT CONTRACT AND I FORFEIT ANY MONIES ALREADY COLLECTED. BY MY SIGNATURE BELOW, I CERTIFY THAT THE INFORMATION I PROVIDED ON AND IN CONNECTION WITH THIS FORM IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. I ALSO UNDERSTAND THAT ANY FALSE STATEMENTS OR DELIBERATE OMISSIONS ON THIS FORM MAY SUBJECT ME TO LEGAL ACTIONS FOR FRAUDULENT MISREPRESENTATION AND/OR IMMEDIATE DISMISSAL FROM MED-SURG AESTHETICS AND LASER ACADEMY.