Day Spa Liability Waiver Form

Participant Agreement, Release, and Acknowledgement of Risks

Guest Information:

Full Name:
Date of Birth:

Understanding and Acceptance of Risks

I, , understand and acknowledge the following:

  1. Potential Risks: Although day spa treatments are generally safe, they may have potential risks depending on individual health conditions, sensitivities, or allergies. Possible reactions can range from minor irritations to allergic reactions or other adverse effects.
  2. Health Declaration: I affirm that I have informed  of any known allergies, sensitivities, medical conditions, or medications that may affect my treatment outcome. I will communicate any discomfort or concerns during the procedure to the spa professional.
  3. Voluntary Participation: I am voluntarily seeking services from  and acknowledge the potential risks associated with spa treatments.

Liability Release

I hereby release, indemnify, and hold harmless , its agents, and employees from any claims, damages, liabilities, or demands resulting from any harm, injury, or adverse reaction I might experience as a result of the services provided.

For Guests Under 18 Years of Age

If the guest is under 18 years of age, this form must be read and signed by a parent or guardian.

I, , as the parent or guardian of the above-named minor, have read, understood, and agreed to this liability waiver form on behalf of my child.

Guest Signature and Contact Details

Participant is Age 18.

Name: Mobile Phone: Email:

*

 

Full Name:
Phone:
Email:


Signature:
*

Date:
Emergency Contact Name:
Emergency Contact Phone:

For Guests Under 18:

Parent/Guardian Name:
Parent/Guardian Signature:

*

Date:

*Note: This Day Spa Liability Waiver Form is intended as a general guideline. It's crucial to consult with a legal expert in your jurisdiction to ensure its enforceability and compliance with local laws.

By clicking Sign & Send below you agree to the terms contained herein, and that terms are binding in your jurisdiction as defined in our Electronic Signature Disclosure & Consent

E-Sign Act Disclosure and Agreement

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Hardware & Software Requirements

Use of this Service Requirements

  1. Connection to the internet
  2. Any internet web browser with graphical interface and a pointing device, aka "a mouse" for desktop computers or a touch screen for tablets or modern phones common after 2004
  3. a PDF reader or browser capable of displaying Adobe PDF documents
  4. A printer, should you wish to print and retain a paper copy of signed documents.

Acknowledgement of your access and consent to electronic records and electronic signature

By clicking "Sign & Send" on any document posting to this service, you agree that

  • You were able to read this E-SIGN Act Disclosure & Agreement
  • Should you desire, you were able to print on paper or electronically save this agreement for future reference
  • You have an active email on file with the owner of this website
  • That the device on which you indicated your agreement or signature, including both your hardware and your software comply with the terms above and were able to render the agreement in a fashion functionally equivalent to paper, and that the document agreed to was both readable and understandable.
  • That any indication of signature and/or initials in addition to information provided is wholly yours and subject to the terms above.
  • You consent to receive electronically any records, notices, agreements or disclosures made to you by our client, the referring service, during the course of your relationship with that company, subject to revocation per terms above.

Electronic Signature         Disclosure & Consent