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FLOAT THERAPY WAIVER

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Floatation therapy provides a deep state of relaxation that stimulates blood flow throughout the body, reduces stress hormones and releases natural endorphins. To ensure a comfortable float experience, I agree to the following (please initial below if you agree to the following statements).

 

I agree to the following:

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  • The float tank is in a wet area, and I will take extra precautions for my own safety. I assume any and all liability due to injury and/or damage resulting from any slip and fall incident.

  • I am physically capable of getting in and out of the float tanks on my own. This requires enough upper body strength to pull myself up from a sitting position to a standing position. If unable, I agree that I will arrive with a certified aide to help me in and out of my session.

  • If this is my first time floating, I will arrive 10 minutes before my appointment time. Otherwise, I will arrive at least 5 minutes prior to my appointment time.

  • I agree to turn off or on silent all my electronic devises.

  • I agree to shower before my float first with shampoo only and use body wash to ensure all dirt and oils are off my body.

  • I am aware that keratin hair treatment can be affected by any salt water, especially the high content in a float tank.

  • I agree that all cologne, perfume, make-up or creams will be fully removed from my body before entering the float tank.

  • I agree, if I smoke, I will reframe from doing so for at least 45 minutes prior to entering the float tank to avoid bringing in any smoke smell from entering the float tank.

  • If pregnant, I have consulted with, and secured written permission from my physician from using the float tank.

  • I understand that, in order to keep other customers from waiting, my showering time will be limited to 7 minutes each.

  • I do not have any communicable or infectious disease, illness, or skin disorder.

  • I do not suffer from uncontrolled seizures, epilepsy or incontinence.

  • I do not have a condition, nor am I on any medication which may have adverse effects due to immersion in the concentrated magnesium sulfate (Epsom salt) water solution.

  • I understand that floating may lower blood pressure and I will take extra precautions standing up after my float. If I have a history of high blood pressure (>= 180/120) or low (<=90/50), I have medical authorization to float.

  • I understand that if I suffer from vertigo when lying down, the same could occur during a float session.

  • If I have chronic heart or kidney disease, I have medical authorization to float.

  • If I am diabetic with insulin dependency, I have medical authorization to float.

  • I am not under the influence of any medication, drug or alcohol.

 

AGREE TO TERMS BY CHECKING THE BOX AT CHECKOUT

 

***If it is found that any of the preceding conditions were agreed to be untruthful and/or were not adhered to, Vibrant Health reserves the right to cancel an appointment without refund or to ask a guest to reschedule.

 

Hair dye and contamination of the float tank solution:

Hair dye has been shown to cause float tank discoloration. The leeching of the dye out of the hair can permanently stain the float tank interior, stain our towels and can be impossible to remove from the solution without a full replacement of water and salt. If you dye your hair, please make sure the dye is fully set (usually about 10 days).

 

***Violation of any of the rules above will resulting in contamination of the float tank solution (including but not limited to dyes, oils or any bodily fluids/excrement) will result in a cleaning, loss of business and/or salt replacement fee of $1500.

 

AGREE TO TERMS BY CHECKING THE BOX AT CHECKOUT

 

Cancellation and no-show policy:

 

Cancellations made more than 24 hours before the appointment time will result in a full refund or stored float credit. Cancellations made less than 24 hours before their appointment time and no shows will result in the full charge with no refund or the use of stored float credit except for in extraordinary circumstances.

 

Minor policy:

 

Participants between the ages of 13-17 must have a parent or guardian sign the waver on their behalf. In addition, the parent or guardian must remain in the float room (not the tank) for the duration of the minor’s float session.

 

I understand that the floatation tank use:

  • Pharmaceutical grade Epsom salts

  • Ultraviolet and ozone sanitation systems

  • Natural enzymes and non-toxic biodegradable cleaning products

  • Hydrogen peroxide

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I further understand that everyone may have a unique experience. I have been given an orientation which familiarizes me with the safe and appropriate use of the float tank. I agree to take full responsibility for my thoughts, actions while in the float tank and the waver of liability and all agreements made herein shall apply to each and every use of the floatation tank.

 

I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Vibrant Health Chiropractic, LLC and its employees and agents. I will not hold the owner/operator of Vibrant Health Chiropractic LLC nor its employees and/or agents liable for any injury during a session or while on the premises. I have fully read and fully understand and agree to the above terms of this liability waiver agreement. I am signing this waver voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Illinois.

 

By signing below, you agree that you have read in its entirety and fully understand the Vibrant Health Chiropractic LLC waiver and release form.

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BY CHECKING "AGREE" YOU AGREE TO THESE TERMS

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