1 Month FREE at Senoltyix

By clicking “Submit,” you agree to be contacted via email or phone. The submission of your application does not guarantee this, however, nor does it guarantee enrollment in the program. By clicking “submit,” you acknowledge and authorize your email address to be added to our practice’s custodial list. It will not be shared with other businesses nor sold.

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CLIENT DETAILS

Name *

First

Last

Date of Birth *

Current Height *

Current Weight *

How much weight would you like to lose? *

Email *

Cell Phone Number *

You also agree to the following:

ELECTRONIC COMMUNICATIONS
Visiting Senolytix or sending emails to Senolytix or Dr. Osborn and opting into marketing funnels (on social media) constitutes electronic communications. You consent to receive electronic communications, and you agree that all agreements, notices, disclosures, and other communications that we provide to you electronically, via email, text message (SMS), via voice and on the Site, satisfy any legal requirement that such communications be in writing. Opting in to Senolytix or Dr. Osborn's monthly email newsletter - voluntarily furnishing your email address - is considered written consent to receive the monthly newsletter.

INDEMNIFICATION
You agree to indemnify, defend and hold harmless Dr. Osborn and Senolytix, LLC, its officers, directors, employees, agents and third parties, for any losses, costs, liabilities and expenses (including reasonable attorney’s fees) relating to or arising out of your use of or inability to use the Site or services, any user postings made by you, your violation of any terms of this Agreement or your violation of any rights of a third party, or your violation of any applicable laws, rules or regulations. Dr. Osborn reserves the right, at its own cost, to assume the exclusive defense and control of any matter otherwise. subject to indemnification by you, in which event you will fully cooperate with Dr. Osborn in asserting any available defenses. No doctor-patient relationship exists between you and Dr. Osborn.