Waiver and Release of Liability
By using this device, I have agreed to purchase the Pavlok device(s) (the “Products”) provided by
Behavioral Technology Group Inc. (the “Company”) which is intended to change behavioral habits
of mine. I understand the Products may be subject to modifications and improvements after my
use. I am aware that the Products apply levels of electric stimulation or current to the body, and
I understand that electric stimulation presents certain inherent risks of bodily and indirect injury,
that may arise regardless of precautions and prior testing undertaken by the Company. BY USING
THE PRODUCTS, I AGREE TO BE BOUND BY THE TERMS OF THIS WAIVER AND RELEASE OF
LIABILITY.
In consideration for the Company’s provision of the Products, and in addition to my payment for the
Products, I hereby voluntarily release and forever discharge the Company and each of its agents,
employees, officers, shareholders, members, managers, and directors, from any and all liabilities,
claims, debts, demands, suits, actions, causes of action, or rights of action, which I or my heirs,
assigns, successors, legal or personal representatives, estate or any other person claiming by or
through me can, shall, or may ever have, now or in the future, for, by reason of, or based upon any
injury, death, illness, disease, or damage to or loss of property arising out of, directly or indirectly, or
in any way connected with or related to my use of the Products, including but not limited to based
upon negligence, breach of express or implied warranties, misrepresentations, strict liability, unfair or
deceptive practices or any other legal or equitable theories.
• Check with your health care provider before using Pavlok if you have a previously
diagnosed medical condition.
• Do not use Pavlok if you are pregnant.
• Do not use Pavlok if you are using a pacemaker or similar device.
• Pavlok is not intended to be used by or on persons under the age of 18 years old.
• Avoid water and wet locations. Do not expose Pavlok to water or rain, or handle near
wet locations.
I understand that this is the entire agreement between myself and the Company related to
this subject matter and that it cannot be modified or changed in any way by any oral or written
representations or statements by any employee or agent of the Company or by me. I understand and
agree that this Waiver and Release of Liability shall be governed by the laws of The Commonwealth
of Massachusetts, without regard to its conflicts of law principles, and that if any court should find
any part of this document to be invalid, the rest of this document shall, notwithstanding, remain
in full force and effect. I agree that any claims or disputes must be resolved by a court in The
Commonwealth of Massachusetts, and I agree to submit to the personal jurisdiction of the courts of
The Commonwealth of Massachusetts for the purpose of litigating all such claims or disputes.
BY USING THE PRODUCT, I CERTIFY THAT I HAVE CAREFULLY READ THIS DOCUMENT AND
FULLY UNDERSTAND ITS CONTENTS. I CERTIFY THAT I AM AT LEAST EIGHTEEN (18) YEARS OF
AGE, CAPABLE OF PROVIDING INFORMED CONSENT, AND AM NOT AWARE OF ANY MEDICAL
CONDITIONS THAT WOULD RENDER MY USE OF THE PRODUCTS TO BE DANGEROUS TO MY
HEALTH. I UNDERSTAND THAT THIS IS A WAIVER OF LIABILITY AND THAT I AGREE TO ALL
TERMS BY USING THE PRODUCT.
The antenna(s) used for this transmitter must not be co-located or operating in conjunction with
any other antenna or transmitter.
