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2800 E. 10th St.

Suite 102

Greenville, NC 27858

252-298-7749

www.kairosfloats.com

General Release of Liability and Waiver

Facilities

  • I agree to take full responsibility for myself (and/or minors under my care) as I use the facilities and amenities at Kairos Float & Wellness Studio (“Kairos”) and participate in services (collectively, the “Services”). 
  • Should I have an emergency while inside a therapy room, I am aware that there is a two-way intercom system that I can use to request assistance.
  • Kairos Float & Wellness Studio is an electronics-free space. No cell phones, iPads, laptops, or other similar devices can be used while in the facility. If you need to make a phone call, please go outside to complete your call.

I Agree

Fees

Services provided at Kairos are based on the desired service(s) and time commitment. These fees are subject to change. We require payment for services at the time of service.

I Agree

Cancellation Policy

You must cancel scheduled services 24 hours in advance; otherwise, we may bill you for 100% of the normal session fee, even if the cancellation was unavoidable. I will abide by the 24-hour cancellation policy when rescheduling or canceling appointments. Otherwise, I understand I will be charged the full session price, realizing this appointment was exclusively reserved for me.

I Agree

Right to Refuse Service

Kairos reserves the right to refuse service to anyone.

I Agree

Voluntary Use

I understand that I am in control of this experience and can stop at any time. I take full responsibility for myself and my body while at Kairos Float & Wellness Studio. I acknowledge that I am voluntarily participating in the Services and agree not to hold the facilities, operators, or owners liable for any injury to self or loss of personal items.

I Agree

Not Medical Advice or Service

I understand that Kairos is not a medical facility and does not provide medical advice, diagnosis, or treatment. If I am seeking medical advice, diagnoses, or treatment, I understand that I should consult a medical professional or healthcare provider.

I Agree

Use of Substances

I declare that I am not under the influence of any substance, legal or otherwise, that would impair my judgment while participating in the Services at Kairos. I agree that I will not smoke or ingest any substances while on the Kairos premises.

I Agree

Illness

I confirm that I am: (a) in good health and proper physical condition and do not have any medical or other conditions that would impair my ability to participate in the Services at Kairos; and (b) not experiencing and have not experienced in the past 72 hours any symptoms of contagious illness such as cough, shortness of breath, sore throat, congestion, headache, muscle or body aches, chills, or fever, rash, diarrhea, or vomiting and do not have a confirmed or suspected case of any contagious disease. 

If I have had any of these symptoms or a confirmed or suspected case of any contagious disease, I will reschedule my services.

I Agree

Lockers

Lockers are available for free use. Lockers have resettable codes for each client. Shoes and all electronic devices must be stored in lockers. If you forget your code, Kairos staff can use a master key to reset your lock. 

I understand that Kairos is not responsible for my personal property stored in the lockers provided.

I Agree

Accessibility

Kairos Float & Wellness Studio is committed to providing reasonable accommodations to its patrons ensuring that individuals with disabilities enjoy equal access to all services provided.

I Agree

Awareness of Risk

I am aware and understand that the activity of participating in the Services at Kairos is potentially dangerous and involves the risk of personal or psychological injury, pain, suffering, temporary or permanent disability, death, property damage, and/or financial loss. I acknowledge that any injuries that I sustain may result from or be compounded by the actions, omissions, or negligence of the company Kairos, including negligent emergency response or rescue operations of Kairos the company. 

Notwithstanding the risk, I acknowledge that I am knowingly and voluntarily participating in the activity of the Services with an express understanding of the danger involved and hereby agree to accept and assume any risks of injury, disability, death, and/or property damage arising from [my participation in] the activity Services, whether caused by the ordinary negligence of Kairos Float & Wellness Studio the company or otherwise.

I Agree

Waiver of Claims

I hereby expressly waive and release any and all claims, now known or hereafter known, against Kairos Float & Wellness Studio, and its officers, directors, manager(s), employees, agents, affiliates, shareholders/members, successors, and assigns (collectively, “Releasees”), on account of injury, disability, death, or property damage] arising out of or attributable to my participation in the Services, whether arising out of the ordinary negligence of Kairos Float & Wellness Studio or any Releasees or otherwise.

I covenant not to make or bring any such claim against Kairos Float & Wellness Studio or any other Releasee, and forever release and discharge Kairos Float & Wellness Studio and all other Releasees from liability under such claims, to the fullest extent permitted under North Carolina law.

I Agree

Consent to Medical Treatment

I hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation in the Services. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and/or evacuation. I hereby release, forever discharge, and hold harmless Kairos Float & Wellness Studio from any claim based on such treatment or other medical services.

I Agree

Miscellaneous

This Release constitutes the sole and entire agreement of Kairos Float & Wellness Studio and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of Kairos Float & Wellness Studio and me and our respective heirs, successors, and assigns. 

All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of North Carolina without giving effect to any choice or conflict of law provision or rule. Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Pitt County, North Carolina and I hereby consent to the exclusive jurisdiction of such courts.

I Agree

Acknowledgement

BY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE KAIROS FLOAT & WELLNESS. I AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND FULLY COMPETENT.

OR I AM THE PARENT OR LEGAL GUARDIAN OF THE MINOR NAMED HEREIN. I HAVE THE LEGAL RIGHT TO CONSENT TO AND, BY SIGNING BELOW, I HEREBY CONSENT AND AGREE TO THE TERMS AND CONDITIONS OF THIS GENERAL RELEASE OF LIABILITY AND WAIVER.

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
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 Date of Birth*
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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