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By filling out this form, you agree to follow our rules and guidelines below.

Thank you!

 

Welcome to Loyly. We want everyone to have a relaxing and enjoyable time. By signing this form you agree that your use of the facility is optional and at your own risk. Löyly reserves the right to refuse service to anyone not abiding by our rules and policies.

Thank You!

I agree that in the last 14 days I have not had a new or worsening cough

I agree that in the last 14 days I have not had fever (temperature 100 degrees or over)

 

I agree that in the last 14 days I have not had new shortness of breath

 

I agree that in the last 14 days I have not been in close contact with anyone with these symptoms or anyone who has been diagnosed with COVID-19 

 

I agree to stop my use of the facility or treatment and experience any of the following symptoms during my visit: fever, cough, fever, sore throat, cough, shortness of breath. 

OTHER THINGS TO KNOW

Your time is reserved especially for you. We have a 24-hour cancellation policy for massage and skincare services and we charge full price for no shows and late cancellations to compensate our service providers. 

Loyly operates without regard to race, religion, color, sex, marital status, familial status, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income.

Sexual behavior of any kind are not allowed in our facilities.  

Loyly reserves the right to refuse service to anyone not abiding by our rules and guidelines.

Please be advised that there are various natural essential oils used throughout the facility at all times -eucalyptus, mint, spruce, rosemary, birch, lemon, and lavender. While we do use these natural essential oils, we ask that you refrain from using any type of synthetic perfume or fragranced products before coming to the facility or during your stay with us due to fragrance sensitivities.

I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive a massage.

WAIVER AND RELEASE AGREEMENT:

I agree to abide by all present and future Loyly policies, rules, regulations, and guidelines. I will stop my use of the facility and seek immediate medical attention if I become injured, feel dizzy or nausea and will obtain my doctor's permission before returning. I waive my right to sue (release) and agree to defend, indemnify, and hold Kelso Sauna & Spa, Inc. doing business as Loyly Sauna, its owners, members, managers, employees, independent contractors and agents harmless from lawsuits brought by myself or my heirs, from and against any and all liability, loss, expense (including reasonable attorney’s fees), or claims for injury or damages now or in the future that may arise out of my use of the facilities, including but not limited to the wet areas, steam and sauna rooms, massage, tea lounge, locker room or entering or leaving from the facilities. This waiver and release also extends to any and all claims for injury or damages relating to or arising out of Loyly’s policy not to discriminate on the basis of gender identity. 

Loyly is not responsible for lost or stolen items. Items left at our facilities and found by us will be kept for 30 days and then discarded or donated.

I understand that all activity and services provided at Loyly are optional and at my own risk. I have read the above information and guidelines and agree to follow them.

I Agree

September 18, 2020

 

First Guests Name

First Name*

Last Name*

Phone*
First Guests Date of Birth*
I certify that I am 18 years of age or older
First Guests Signature*
Second Guests Name

First Name*

Last Name*
Second Guests Date of Birth*
Third Guests Name

First Name*

Last Name*
Third Guests Date of Birth*
Fourth Guests Name

First Name*

Last Name*
Fourth Guests Date of Birth*
Fifth Guests Name

First Name*

Last Name*
Fifth Guests Date of Birth*
Sixth Guests Name

First Name*

Last Name*
Sixth Guests Date of Birth*
Seventh Guests Name

First Name*

Last Name*
Seventh Guests Date of Birth*
Eighth Guests Name

First Name*

Last Name*
Eighth Guests Date of Birth*
Ninth Guests Name

First Name*

Last Name*
Ninth Guests Date of Birth*
Tenth Guests Name

First Name*

Last Name*
Tenth Guests Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
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*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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