By accessing the Treatment and/or signing this Sign-Up Sheet, you:

1. voluntarily opt-in to the Treatment, with full appreciation of the benefits, risks and terms and conditions applicable thereto;
2. acknowledge that you have read, and that you agree to be bound by, the General Terms and Conditions which are provided to you by Shamar Clinic. Unless otherwise defined herein or except where the context requires otherwise, words, terms and definitions used in this form shall have the meaning given to them in the General Terms and Conditions;
3. agree that the General Terms and Conditions constitute compliance with Shamar Clinic's obligations to inform the Client as contemplated in Applicable Law, including in terms of the National Health Act, 61 of 2003 and the Ethical Rules of Conduct for Practitioners Registered under the Health Professions Act, 56 of 1974 ("HPCSA Ethical Rules") in respect of all Treatment rendered by the Practice to the Patient and the Client; and
4. agree that the General Terms and Conditions are binding and enforceable against the Client and Patient.