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WELCOME TO SPRINGS ETERNAL SPA AT THE OMNI BEDFORD SPRINGS RESORT.
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF RIGHTS.

By signing this document, I expressly agree to the following:

1. I hereby acknowledge and agree that the Springs Eternal Spa at the Omni Bedford Springs Resort (hereinafter the “Spa”) offers a variety of spa activities and treatments, including without limitation facials, dermaplaning and massage, and fitness facilities, programs and equipment (collectively, the “Activities”) for use and participation by members and guests solely at their own risk. I understand and acknowledge that the Spa makes no claims as to the safety, results or the appropriateness of the Activities for any particular individual. I further understand that the Spa reserves the right to exclude any person from utilizing the Spa facilities and equipment or participating in any of the Activities in its sole discretion.

2. I acknowledge and agree that use of the spa facilities and fitness equipment and participation in the activities may be dangerous and involve the risk of serious injury, death and/or property damage. I expressively agree to assume all risk associated there with and agree to forever waive and release any and all claims and legal rights which i may have whatsoever, to the extent permitted by law, in connection with my use of the spa facilities and fitness equipment and participation in the activities.

3. I understand that before participating in any of the Activities that I should consult my physician and in
the event my health condition changes while I am participating in the Activities, I agree to consult with my physician prior to resuming any and all Activities at the Spa. I understand and agree that all suggestions and/or instruction made by Spa staff concerning exercise, nutrition or any Spa treatment or Activities are neither diagnostic nor prescriptive and that I should verify the same with my physician and I will evaluate such instructions and/or suggestions independently. Notwithstanding the foregoing, I warrant and represent that I am in good health and that I am able to use the Spa facilities and equipment and participate in the Activities, without limitation.

4. I hereby authorize Spa personnel to call for medical assistance for me or the below-mentioned minor and to transport the same to a medical facility or hospital in the event of an emergency. I further agree to be responsible for all costs and expenses associated with any such medical care and/or related transport and I hereby agree to defend, indemnify and hold harmless the Released Parties of and from any such costs.

5. I agree to abide by all rules and regulations as may be established from time to time by the Spa. I understand and acknowledge and agree that inappropriate behavior whether verbal and/or physical shall result in the immediate refusing/stopping of the Spa treatments/ programs.

6. In consideration of using the Spa facilities and equipment and/or taking part in the Activities, I agree, to the fullest extent permitted by law, to forever release, defend, indemnify, and hold harmless the Spa, Omni Bedford Springs Resort, LLC, a Delaware limited liability company, and Omni Hotels Management Corporation, a Delaware corporation, their respective parents, subsidiaries and affiliates and any of their respective owners, officers, directors, employees, contractors, agents, successors and assigns (collectively the “Released Parties”) from any and all claims and causes of action which I (or the below- mentioned minor) might otherwise have or be entitled to assert as a result of or related to any personal or physical injury or otherwise (and no such person or entity shall be liable to me (or the below-mentioned minor), my spouse, children, unborn children, or other family members, guests or invitees of me (or the below-mentioned minor) for any personal or physical injury), including without limitation: (I) injuries arising from participation in supervised or unsupervised activities and programs in the Spa, (II) injuries arising from the Spa or Released Parties’ negligence, whether direct or indirect; (III) injuries, disease, infection or medical disorders resulting from massage therapy and use of the Spa facilities, including locker rooms, steam room, whirlpools, hot tubs, spas, saunas, showers and dressing rooms; and (IV) any injuries or damages which occur while on the Spa premises, whether related to participation in the Activities or not. I also waive all claims against the Released Parties for any claims I (or the below-mentioned minor) may have under any of the state’s consumer protection statutes. The provisions of this paragraph shall survive the termination of my (or the below-mentioned minor’s) massage therapy and spa services. I also agree to defend, indemnify, and hold harmless the Released Parties for any such claims and from any and all claims brought by third parties arising out of my (or the below-mentioned minor’s) acts, errors or omissions.

7. I understand that I will be receiving massage therapy and spa services as a form of adjunctive health care only and that this therapy is not intended to replace appropriate medical care. I will be properly draped at all times with a sheet or towel. Massage and treatments will be limited to areas without contraindication for massage or treatment, and include back, limbs, neck, face, scalp, stomach, décolleté, feet and hands. Breast massage of female clients will not be performed. If I or the spa therapist is uncomfortable for any reason, the session may be discontinued at any time.

8. This Agreement shall by binding on my (or the below- mentioned minor’s) estate, heirs, administrators and assigns. If I am executing this Release of Liability and Waiver of Rights on behalf of a minor, I warrant and represent that I am the minor’s parent or legal guardian.

GUIDELINES

PLEASE READ THE BELOW GUIDELINES FOR YOUR BEST ENJOYMENT OF OUR SPRINGS ETERNAL SPA:

  • Please ensure cell phones are placed on silent. Cell phone usage is not permitted in our Relaxation Lounge.
  • While enjoying the Relaxation Lounge, we enforce a “whisper” as this is a spa tone area.
  • Bathing Suits are required while you are taking part in our Bedford Bath Ritual.
  • By signing, you agree that all guests enjoying the Bedford Bath area are over the age of 18.
  • Alcohol is not permitted at the Springs Eternal Spa.
  • Please remember to lock your belongings in your locker. If a locker is left unlocked, a member of the team is authorized to secure the locker on your behalf.

Please refrain from bringing any valuables or cash into the Spa. Guests staying at the Resort are encouraged to store their valuables or cash in the safes provided in their rooms or in safety deposit boxes located at the Front Desk. Please be advised that the Spa is not responsible for any valuables, cash or personal belongings stored in any locker. For any one failing to check out at the spa desk to settle the bill, an automatic 20% gratuity will be added.

I HAVE CAREFULLY READ THE FOREGOING RELEASE OF LIABILITY AND WAIVER OF RIGHTS, UNDERSTAND ITS CONTENTS AND SIGN IT WITH FULL KNOWLEDGE OF ITS SIGNICANCE. I AM AT LEAST 18 YEARS OF AGE.

Thank you for trusting the Springs Eternal Spa with your health and wellness. Due to COVID-19 we have implemented new safeguards and increased sanitation efforts to ensure your safety and the safety of our team. We follow, or exceed, all sanitation guidelines that have been issued by the FSMTB (Federation of State Massage Therapy Boards), CDC (Center for Disease Control and Prevention), and the Pennsylvania Department of State.

PLEASE ACKNOWLEDGE AND AGREE TO THE FOLLOWING:

I am unable to enter the facility if I (or anyone in my household) have a temperature above 100.4°F and/or I am exhibiting or experiencing any of the following COVID-19 symptoms as published by the CDC (fever, cough, shortness of breath or difficulty breathing, chills, repeated shaking with chills, headache, sore throat, or new loss of taste or smell).

I have not been diagnosed with COVID-19 in the past 14 days. I have not knowingly been exposed to anyone with COVID-19 in the past 14 days.

I have not traveled out of the country in the past 14 days.
I understand that a person can unintentionally spread COVID-19 to others even if they do not feel sick or have symptoms.

I understand that face coverings are required by the state as they are meant to reduce the possibility of spreading the virus and that I am required to sanitize my hands prior to the session.

If at any time before my appointment my health status changes, I will notify the Springs Eternal Spa and reschedule my service for when I am able to return.

I understand and acknowledge that my spa technician, the resort staff, and Springs Eternal Spa team cannot completely control the spread of COVID-19 and I have chosen to enter this business and consent to receive close contact service with full knowledge of the risk of contracting COVID-19 where social distancing cannot be observed. 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 treatment from this practitioner.

The Springs Eternal Spa is committed to holding team members and therapists to the same guidelines above.

BY SIGNING THIS DOCUMENT I AGREE NOT TO HOLD MY THERAPIST, THE RESORT STAFF, OR SPRINGS ETERNAL SPA LIABLE FOR ANY EXPOSURE TO COVID-19.

Today's Date: December 2, 2020

First Guest's Name

First Name*

Last Name*
First Guest's Date of Birth*
I certify that I am 18 years of age or older
First Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

First Guest's Signature*
Second Guest's Name

First Name*

Last Name*
Second Guest's Date of Birth*
Second Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Third Guest's Name

First Name*

Last Name*
Third Guest's Date of Birth*
Third Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Fourth Guest's Name

First Name*

Last Name*
Fourth Guest's Date of Birth*
Fourth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Fifth Guest's Name

First Name*

Last Name*
Fifth Guest's Date of Birth*
Fifth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Sixth Guest's Name

First Name*

Last Name*
Sixth Guest's Date of Birth*
Sixth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Seventh Guest's Name

First Name*

Last Name*
Seventh Guest's Date of Birth*
Seventh Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Eighth Guest's Name

First Name*

Last Name*
Eighth Guest's Date of Birth*
Eighth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Ninth Guest's Name

First Name*

Last Name*
Ninth Guest's Date of Birth*
Ninth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

Tenth Guest's Name

First Name*

Last Name*
Tenth Guest's Date of Birth*
Tenth Guest's Information

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

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

PreScreen Questionaire


DATE OF SERVICE
1. Do you agree to participate and observe the facilities sanitation and hygiene standards and processes while using our facilities?*
No
Yes
2. Have you been tested for COVID-19?*
No
Yes

If yes, when was your test? What were the results?
3. Have you been asked to self-isolate or quarantine by a doctor or local public health official in the last 14 days?*
No
Yes

If yes, please call the Spa

4. Have you had close contact with or cared for someone diagnosed with COVID-19, under an isolation directive or exhibiting cold or flu symptoms in the last 14 days?*
No
Yes

If yes, please call the Spa

5. Are you experiencing any of the following cold of flu-like symptoms as a new pattern in the last 14 days: Fatigue, Shortness of Breath, Fever, Chills, or Cough?*
No
Yes

If yes, please call the Spa

Sore Throat, Congestion, or Loss of taste or smell?*
No
Yes

If yes, please call the Spa

BY SIGNING THIS DOCUMENT I AGREE TO THE ACCURACY OF THE ABOVE INFORMATION 

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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