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Float Therapy Waiver

Floatation therapy provides a deep state of relaxation that stimulates blood flow through all of the body’s tissues, reduces stress hormone levels and releases natural endorphins.  To ensure a comfortable, clean and safe experience, I agree to the following:

  • All float tanks are in wet areas and I will take extra precautions for my own safety. I am physically capable of getting in and out of the float tanks on my own.  If unable, I agree to arrive with a certified aide to assist me during my session.  I assume all liability due to injury/damage resulting from any slip or fall accident.
    I Agree
  • I agree to shower with soap and shampoo thoroughly before each float session to completely remove all dirt, oils, lotions and perfumes from my body.
  • I will not enter the float tank if my hair has been dyed within the previous 2 weeks as the dyes may cause damage.
    I Agree
  • I agree, that if I smoke, I will refrain from doing so for a minimum of 1 hour before float session begins.
  • I do not have any communicable or infectious disease, illness or skin disorders.
  • I do not suffer from uncontrolled seizures, epilepsy or incontinence.

I understand that:

  • We have a $1,000 contamination fee for our float pods. Voluntary or involuntary release of bodily fluids, communicable or infectious diseases, oils, creams, and hair dyes in the float solution may enact the contamination fee for salt replacement, cleaning, and loss of income for closing the float pod.

  • Cancellations must be done 12 hours in advance. Failure to give proper notice when canceling or not showing up for an appointment will incur the charges associated with the session to your credit card on file or the forfeit of a pre-purchased session.
    I Agree
  • If you fail to check out within 15 minutes after your scheduled time, and there is no response to other methods such as knocking on the door, we have the right to enter the float room to ensure your safety and well being.
    I Agree

Date: March 14, 2025 

First Clients Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Clients Date of Birth*
Clients 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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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 Age Acknowledgment*
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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