Spa Service Guest Consent Form
Personal Information
Full Name
Date of Birth
Email Address
Phone Number
Medical & Allergy Information
Please list any medical conditions
Please list any allergies
Are you currently taking any medications?
Service Information
Type of Service(s) to be Performed
Specific Concerns or Requests
Consent & Acknowledgement
I confirm that the above information is accurate and complete.
I consent to receive spa services at my own risk. I have informed the therapist about any relevant health conditions and understand the nature of the treatment.
I release the spa and service provider from liability for any injury or adverse reaction resulting from my treatments.
Signature
Date