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Welcome to Floating Point Float Centre, to make your experience thoroughly enjoyable please complete the form below.

You can-not float if you suffer from epilepsy, schizophrenia, acute skin disorders or those with low blood pressure. You will not be able to Float if you are currently menstruating due to health and hygiene or have dyed your hair within the last 48 hours. You will not be able to use the floatation tank under the influence of alcohol or drugs. I can confirm that I am not currently suffering from any form of ear infection or within the first trimester of pregnancy. I am over 16 years of age)

You can-not use the infrared sauna if you are pregnant, have cardiovascular issues or diabetes (Consult physician before use), if you are taking certain medications (See our website FAQ page), Diseases Associated With Reduced Ability To Sweat Or Perspire - Multiple Sclerosis, Central Nervous System Tumors and Diabetes with Neuropathy are conditions that are associated with impaired sweating. (Consult a physician), Joint Injury - Recent (acute - less than 48hrs), if you have a Pacemaker / Defibrillator. If you are at all concerned please contact your physician for advice. I can confirm that I am over 16 years of age.

Please note there will be a cleaning fee of £750 if any bodily fluids are excreted in the pods. (We know it’s quite humorous but believe it or not rare incidents have occurred in the US hence the precaution.) 

 Please refer to our website at www.floating-point.co.uk for our privacy policy.

 

Thank you for your time and enjoy your Float Session!

Date: November 17, 2019

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First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information

Occupation (This is for market research purposes only):
Which treatment are you having today?
Floatation Therapy
Infrared Sauna
Have you floated before:*
No
Yes
Have you used an infrared sauna before?*
No
Yes

Reason for your visit:

Do you have any known allergies (If yes please state as we serve teas & sorbet):

Do you have any medical conditions (If yes please state as floating may not be suitable):

Do you have low blood pressure (if yes please state):

To assist us with our marketing, may you inform us of where you heard about Floating Point:
First Client's Signature*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to if you wish to be kept up to date on news and great offers by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Email

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We use your email address to inform you of your booking and any updates regarding your booking. If you would like to opt in to receive offers and information from us please select yes below.*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 and no younger than 16 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Occupation (This is for market research purposes only):
Which treatment are you having today?
Floatation Therapy
Infrared Sauna
Have you floated before:*
No
Yes
Have you used an infrared sauna before?*
No
Yes

Reason for your visit:

Do you have any known allergies (If yes please state as we serve teas & sorbet):

Do you have any medical conditions (If yes please state as floating may not be suitable):

Do you have low blood pressure (if yes please state):

To assist us with our marketing, may you inform us of where you heard about Floating Point:
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.<br><br> Floating Point collects data so we can provide you with the best experience and advise on any instances where floating would not be appropriate. Please refer to our privacy policy on our website, www.floating-point.co.uk for more information.


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