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I understand that the services provided by reVIVE Old Town, LLC | reVIVE Cherry Creek, LLC | Float Summit, LLC dba VIVE Float Studio, here after referred to collectively as VIVE Float Studio, are drugless, non-invasive approaches to address physical, mental and emotional aspects. Our services can be used as a complimentary resource to prescribed medications, treatment plans or as an independent form of restoration.

I Agree

Although published studies do indicate and support the value of these services, VIVE Float Studio does not claim to be a replacement for medication or medical treatment of any kind. Nothing in this studio is intended to diagnose, treat, or cure any medical condition of any nature, and shall not be construed as medical advice, implied or otherwise. I confirm that no warranty, guarantee, or other assurance, has been made to me covering the results of any of the services, products or equipment offered for use by VIVE Float Studio. Only my personal physician or another health professional can best advise me on matters of my health and use of VIVE Float Studio services.

I Agree

I understand each of these modalities present their own contraindications and I am responsible for presenting any concerns to a VIVE Float Studio team member. Some of these contraindications include but are not limited to: Acute phases of any illness, infections accompanied by fever, acute active tuberculosis, cardiac insufficiency, COPD in third stage, bleeding, spitting of blood, contagious ailments, have use of an oxygen tank to aid breathing, alcohol or drug intoxication, unstable or uncontrolled hypertension/hypotension, seizures, and acute stages of respiratory diseases. Pregnant women should consult a physician prior to the use of any services at VIVE Float Studio. I understand that A PACEMAKER COULD HAVE SERIOUS REPRECUSSIONS IF COMING IN CONTACT WITH THE VIBROACOUSTIC OR INFRARED THERAPIES.

I Agree

When applicable, I have or will watch the Introductory Float Video provided by VIVE Float Studio (online or onsite) prior to my first float appointment. I understand that I will receive very basic verbal instructions during my first float tour about the general use and process of the float room. I understand that the Instructional Video is the primary source of information and education of the use of the float rooms such as use of the intercom system, entering and exiting the float rooms using handrails, the mandatory 5-minute shower and more.

I Agree

I am aware that VIVE Float Studio takes the cleanliness, sanitation, and safety of their services seriously and has chosen to enforce a fee up to $1,500.00 for any damages including but not limited to: staining of the sauna wood, damage of any equipment, or contamination of the float room water (i.e. a person skipping the mandatory 5-minute shower, floating within 48 hours of hair coloration or a spray on tan). I will use the facility with the utmost respect to maintain the purity of the float room water. (agree)

I understand that I am in control of this experience, I take full responsibility for myself, and my body while at VIVE Float Studio as I use the grounds, facility, rooms/ amenities and will be sensitive to those using the facility for their personal REST & RECOVERY; along with any guest interactions.

I Agree

I will not misrepresent myself to any agents/staff of VIVE Float Studio about my ability to operate all equipment in my possession while at VIVE Float Studio.

I Agree

In the event of an emergency, I authorize VIVE Float Studio to secure from any licensed hospital, physician, and/or medical personnel any treatment deemed necessary for my immediate care and I agree that I will be responsible for payment of any and all medical services required.

I Agree

I, as a client of VIVE Float Studio, hereby release and hold harmless VIVE Float Studio, its officers, directors, employees, agents and professional staff from any and all liability arising from or as a result of any services I will receive today and all future appointments. I hereby assume full and complete responsibility for any personal injury, loss, or damage to my health, to include death,  as a result of the services I will receive at VIVE Float Studio today and all future appointments. VIVE Float Studio cannot and does not claim to diagnose or give advice on any medical conditions and/or otherwise. I agree to seek immediate medical attention and advice from a qualified physician or medical facility should any adverse reaction occur.  

I Agree

Cancellation Policy: VIVE Float Studio requires a 24-hour notice to cancel any appointment, a credit card number is required to hold all appointments. Once an appointment is confirmed, unless we hear otherwise, we look forward to serving you.  I understand that time has been set aside exclusively for me and that a No-Show will be billed at 100% of the appointment value ($60.00 for Members) or a Cancellation inside the 24-hour timeline will be charged a flat $45.00 fee ($35.00 for Members) to the credit card on file. Members with service benefits can forfeit an existing service benefit in lieu of a credit card payment.

I Agree

First Guest's Name

First Name*

Last Name*

Phone*
First Guest's Date of Birth*
First Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
First Guest's Signature*
Second Guest's Name

First Name*

Last Name*

Phone*
Second Guest's Date of Birth*
Second Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Third Guest's Name

First Name*

Last Name*

Phone*
Third Guest's Date of Birth*
Third Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Fourth Guest's Name

First Name*

Last Name*

Phone*
Fourth Guest's Date of Birth*
Fourth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Fifth Guest's Name

First Name*

Last Name*

Phone*
Fifth Guest's Date of Birth*
Fifth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Sixth Guest's Name

First Name*

Last Name*

Phone*
Sixth Guest's Date of Birth*
Sixth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Seventh Guest's Name

First Name*

Last Name*

Phone*
Seventh Guest's Date of Birth*
Seventh Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Eighth Guest's Name

First Name*

Last Name*

Phone*
Eighth Guest's Date of Birth*
Eighth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Ninth Guest's Name

First Name*

Last Name*

Phone*
Ninth Guest's Date of Birth*
Ninth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Tenth Guest's Name

First Name*

Last Name*

Phone*
Tenth Guest's Date of Birth*
Tenth Guest's Information
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
Address
Address Line 1:
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:
City:
State/Province:
Zip/Postal:
Parent or Guardian's Email Address

Email
Check to receive information, news, and specials by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 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
Preferred VIVE "home" location*

What size shoe do you wear?
How did you hear about us?*

If 'Friend/Family' or 'Other' please specify
What brings you to VIVE?
Accelerated Healing
Addiction
Anxiety
Arthritis
Athletic Recovery
Auto-Immune Issues
Creativity Boost
Injury Rehabilitation
Pain Relief - Back
Pain Relief - Neck
Pain Relief - Other
Pregnancy
Relaxation/Meditation
Respiratory Challenges
Sleep Disorder
Visualization
Other (Please specify below)

If 'Other' please specify
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.


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