This contract is between See My Baby Live/SMB Sonography (the "Business") and the client receiving the Ultrasound.
Waiver to provide elective/entertainment ultrasound services
Clause 1
I, hereby authorize See My Baby Live to perform an elective 2D, 3D and 4D ultrasound on me and my baby. I understand this ultrasound is an elective procedure that I have voluntarily requested. The ultrasound images ("picture") are not for the purpose of determing, nor shall they be used in the future to determine, the health status of the fetus and/or mother during the pregnancy or at the birth of the baby. I undersand the images are for entertainment purposes only and are not to be used for any medical diagnosis, treatment or care.
Clause 2
I understand the picture quality may vary depending on the baby's position, amount of amniotic fluid, placenta location, gestational age, and/or body physique or build. I understand and agree that See My Baby.live does not guarantee the quality of the picture. If the pictures are not to my satisfaction or desired quality, there will not be any refund for the service provided.
Clause 3
As evidenced by my signature below, I understand that See My Baby.live cannot guarantee or provide any warranty as to the accuracy of the gender of the fetus identified during the service. You further understand that while ultrasound is believed to have no harmful effects on the mother or fetus, future research may disclose harmful or adverse effects that are presently unknown.
Clause 4
By signing this document, I, hereby release, acquit, hold harmless and forever discharge See My Baby.live, its owners, officers, members, directors, employees, staff, agents, successors and heirs from and against any and all claims, demands, actions, damages or causes of action, whether known or unknown, foreseen or unforeseen, by me and/or on behalf of the fetus resulting from any ultrasound imaging performed by See My Baby.live including, but not limited to, the failure of See My Baby.live to accurately determine fetal gender, other characteristics, or medical condition of any kind of the fetus or the mother.
Clause 5
I have carefully read this document and by signing at the bottom, acknowledge I fully understand and agree to its content. If you choose, or are not able to sign, a staff member will sign their name and date. This acknowledgement will be filed with your records.
Image usage
By siging below, I am allowing my images to be used in See My Baby media pages. I understand all personal information and identifiers will be removed from the images before use.
This contract may be signed electronically or in hard copy. If signed in hard copy, it will be kept with the business as a valid record and a copy can be provided to the signee if requested.  Electronic signatures count as original for all purposes.
By writing/signing your name below, both parties agree to the terms and provisions of this agreement.
Recipient name __________________________________________________________

Recipient signature ________________________________________________________

Recipient date signed _______________________________________________________