Infrared Sauna Waiver and Conditions of Use
Thank you for your interest in use of our Far Infrared Sauna. Prior to use, you are required to provide the following information and complete this form. Answer the questions as required and then sign your name to indicate your understanding and agreement to the conditions of use, as well as waiver and release of liability. Completion of this document does not guarantee approval of use. This waiver does not expire and applies to all Sauna appointments taken by the undersigned at Fadeaway Floatation Center from the date this waiver is executed. If any of the information provided in this form changes, it is your sole responsibility to inform Fadeaway Floatation Center by completing a new form.
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We never, ever EVER sell your information to third parties.
How did you hear about Fadeaway/who were you referred by?
If you were referred by an existing client of ours please share their name.
Please take a minute to tell us why you are here/what benefits you hope to take away from your sauna sessions.
Please answer the following questions:
I am currently pregnant.
Yes
No
You should not use the sauna if you are or might be pregnant.
I am currently taking prescription medication(s).
Yes
No
I have been diagnosed with a medical condition that limits my ability to sweat, such as anhidrosis.
Yes
No
I have a history of angina.
Yes
No
I have had a heart attack in the past.
Yes
No
I have been diagnosed as having severe arterial disease.
Yes
No
I am currently being treated for a medical condition.
Yes
No
If you answered "Yes" to any of the questions above, do you agree that you will obtain permission from your medical care provider prior to coming in for a sauna session?
I agree to the above statement.
Do not use the far infrared sauna without consulting your physician if you are or have: on prescription drugs, fever, sensitive to heat, over age 65, pregnant, cardiovascular conditions, pacemaker/defibrillator, alcohol/alcohol abuse, joint injury (do not heat 48 hours after injury), hemophiliac/ prone to bleeding, chronic conditions/disease associated with reduced ability to sweat (multiple sclerosis, diabetes and tumors are conditions associated with impaired sweating). If any condition worsens after using Infrared Sauna, use should be discontinued immediately and consult with your health care provider. DO NOT attempt to self-treat any disease with the Far Infrared Sauna without direct supervision of a certified physician.
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Far Infrared Sauna Agreement/Acknowledgement
I have read and understand the following statements.
Please check each box in agreement.
I will not use the sauna while under the influence of drugs or alcohol.
Sauna use will immediately be discontinued if I feel light-headed, dizzy or heat exhausted.
Sessions are limited to no more than 60 minutes and temperatures must stay below 150 degrees Fahrenheit.
Plastic water bottles are not permitted in the sauna.
Clients using any medications must consult a physician or pharmacist prior to use of the sauna.
Excessive body temperatures have a potential for causing fetal damage during the early days of pregnancy.
I will not sleep inside the sauna.
Do not use sprays, lotions or oils in the sauna.
I will not let bare skin touch the wood interior of the sauna. I will wear my own clothing or one of the provided robes.
I will only use the sauna when well-hydrated.
Covid-19 Disclosures
Please check each box in agreement.
I do not exhibit any symptoms of Covid-19, including fever, soreness, fatigue, persistent cough and/or difficulty breathing.
If I experience any of the symptoms mentioned above in the two weeks prior to my session I will reschedule.
If I learn I was exposed to Covid-19, I will reschedule my appointment for after the recommended quarantine period (2 weeks).
I will notify Fadeaway if I am diagnosed with Covid-19 within two weeks of visiting the center.
If you test positive for Covid-19
Please check each box in agreement.
I will not visit the float center until I test negative for Covid-19.
Waiver, Release and Consent to Medical Attention
Identification of Risks:
I understand that participation in the use of the Infrared Sauna may involve risk of injury, accident, disability, death, and perhaps damage to property.
Assumption of Risks:
I am physically and psychologically ready to participate in the use of the Infrared Sauna. I accept personal responsibility for any liability, injury, loss or damage in any way connected with my participation in the use of the Infrared Sauna.
Status of Fadeaway Floatation Center:
I understand that Fadeaway Floatation Center is not my physician and the use of the Infrared Sauna does not constitute the provision of medical or health care services.
Waiver and Release:
I understand and discharge Fadeaway Floatation Center from all claims for any liability, injury, loss, or damage in any way connected with my participation in the use of the Infrared Sauna, whether or not caused in whole or part by the negligence or fault of any of the organizations or individuals mentioned above, and from any advice provided by an employee, independent contractor or any representative. I intend for this waiver and release to also apply to my relatives, personal representatives, heirs, beneficiaries, and next of kin and assigns who might pursue any legal action or claim for such liability, injury, loss or damage. I further intend that this waiver and release shall be effective indefinitely, including participation in other programs or opportunities of Fadeaway Floatation Center, and unless and until I provide written notification to Fadeaway Floatation Center to the contrary. I agree that Fadeaway Floatation Center may, but have no duty to me, through medical personnel of their choice, provide customary medical or training assistance, transportation and emergency medical services.
Infrared Sauna:
Monitoring your physical condition during usage is essential. If you experience symptoms of overexposure such as lightheadedness, dizziness, increased heart rate, nausea, or extreme fatigue, leave immediately and sit until your body temperature returns to normal. Should symptoms continue, seek assistance from any staff member, or dial 911 if appropriate. The health benefits of far infrared sauna therapy have not been evaluated by the FDA, and sauna therapy is not intended to diagnose, treat, cure or prevent any disease. Consult your medical provider before beginning sauna therapy.
Acknowledgement:
It is expressly agreed that use of facilities undertaken by me is at my own risk, and that Fadeaway Floatation Center shall not be liable for any claims for damages, injuries or death alleged to have been caused by any activity at the Float Center. By signing below I agree and understand the terms and conditions of this electronic waiver and attest to the accuracy and completeness of each response.
Client's Signature:
Sign using your mouse, or finger if utilizing a touch screen device.
Clear
Guardian's Signature if Client is Under the Age of 18:
Clear
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