Business Name: Baby Bear 3D Imaging LLC
Client Name: ______________
Date: ______________

1. ACKNOWLEDGMENT OF NON-MEDICAL SERVICE
   I understand and acknowledge that the ultrasound services provided by Baby Bear 3D
   Imaging LLC (“Company”) are elective, non-diagnostic, and non-medical in nature and
   are offered solely for entertainment, bonding, and keepsake purposes.
   I further understand and agree that:
    The ultrasound session is not intended to diagnose, treat, monitor, or assess
   any medical condition
    No medical evaluation, clinical assessment, or medical advice is being
   provided
    Any images or videos produced are not a substitute for medical care or
   diagnostic imaging
   I understand that:
    The Company will not interpret images for medical conditions or
   abnormalities
    The Company will not confirm fetal health, development, or well-being
    I should not rely on this session for any medical information or reassurance
2. MEDICAL CARE RESPONSIBILITY
   I confirm that:
    I am currently under the care of a licensed healthcare provider (OB/GYN,
   midwife, or other qualified provider)
    I have received or will receive all medically necessary prenatal care, including
   diagnostic ultrasounds
    I will not rely on this session for medical information or reassurance
   I understand that it is my responsibility to contact my healthcare provider for any medical
   concerns.

Initial: __

3. GESTATIONAL AGE REQUIREMENTS
   I understand and agree that:
    Ultrasound sessions for reassurance/heartbeat checks are performed at a
   minimum of 8 weeks gestation
    Ultrasound sessions for gender determination are performed at a minimum of 16
   weeks gestation
    Baby Bear 3D Imaging LLC reserves the right to refuse, reschedule or
   terminate services if minimum gestational age requirements are not met
4. LIMITATIONS OF ULTRASOUND SESSION
   I understand and acknowledge that ultrasound imaging is subject to technical and
   biological limitations. I specifically agree that:
    Image quality varies based on factors including fetal position, gestational age,
   maternal body composition, and amniotic fluid levels
    The Company does not guarantee image clarity, fetal visibility, or specific poses
    Gender determination is not guaranteed and may be inaccurate or
   inconclusive
    The Company makes no guarantees of successful results
    Repeat sessions, refunds, or rescheduling are not guaranteed unless explicitly
   stated in Company policy
5. ASSUMPTION OF RISK
   I knowingly and voluntarily assume all risks, whether known or unknown, associated
   with participation in a non-diagnostic ultrasound session, including but not limited to:
    Emotional distress or disappointment
    Misinterpretation of images
    Inaccurate gender determination
6. RELEASE, WAIVER, AND HOLD HARMLESS AGREEMENT
   To the fullest extent permitted by law, I hereby release, waive, discharge, and agree to
   hold harmless Baby Bear 3D Imaging LLC, its owners, employees, contractors, agents,
   and affiliates from any and all claims, demands, damages, liabilities, or causes of action,
   whether known or unknown, arising out of or related to:
    My participation in the ultrasound session
    The quality, clarity, or availability of images
    Any perceived or actual inaccuracies (including gender determination)
    Any emotional or psychological response to the experience

Initial: __

This release applies to claims based on negligence (but not gross negligence or
willful misconduct, where prohibited by law).

7. NO MEDICAL RELIANCE
   I expressly agree that I will not use or rely upon any images, videos, or statements from
   this session for medical purposes, diagnosis, or decision-making.
8. PHOTOGRAPHY & MEDIA CONSENT (OPTIONAL)
   ☐ I consent to the use of images/videos from my session for marketing and promotional
   purposes
   ☐ I do NOT consent to the use of my images/videos
   If I consent, I understand that images and/or videos from my session may be used by
   the Company for marketing and promotional purposes. I further understand that no
   identifying personal or medical information will be shared.
9. CERTIFICATION & SIGNATURE
   I certify that:
    I have read this agreement in full
    I understand its contents and legal effect
    I sign it freely and voluntarily
   Client Signature: ______________
   Date: ______________
   Studio Representative: ______________
   Contact Information:
   Baby Bear 3D Imaging LLC
   517 NW 4 th St, Suite 113C, Brainerd, MN 56401
   218-850-0676
   BabyBear3D@Outlook.com