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Waiver Form

Liability Waiver & Professional Agreement

We want you to have an amazing and safe experience with us at Quantum Float & Salt Cave® and we request that you be aware of and agree to the following information and policies:

Fees: Fees vary based on the desired service package or service. These fees are subject to change. We require payment for services before the service begins.

Restrictions: You must be 18 years of age or with a parent or guardian to attend our facility. Some medical conditions may prevent you from using our services. Please consult with your physician to ensure that you are medically cleared to use our services.

Shower Policy: Floaters have 5 minutes to rinse off before their float sessions and up to 5 minutes to shower after their float. You have a total of 15 minutes to exit the float room after your session. This is in addition to your 60 minute float time. We have a powder room for extra post float grooming. I affirm I will turn off my shower prior to entering the float room.

Cancellation Policy: You must cancel scheduled sessions 24 hours in advance; otherwise, we will bill 50% of the service, even if the cancellation was unavoidable. Float Therapy Members may forfeit a float from their membership balance in the event of cancelling within 24 hours or not arriving for their scheduled session.

Consent for Floatation Therapy and Assumption of Risk:

I am aware that there are risks associated with the services provided by the Releasees and attendance at 509 Commissioners Rd W, London, ON N6J 1Y5 which involve many inherent risks, dangers and hazards as further set out on Schedule “A” hereto (the “Activities”) including but not limited to accidents which occur during therapy, improper use of equipment, loss of balance, impact, slip and falls while getting into or out of the float rooms, negligence of other attendees and other hazards related to my participation in the Activities, and negligence on the part of the Releasees, including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of my participation in the Activities.

My participation in the Activities is purely voluntary, and I freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, property damage or loss resulting therefrom. I agree to, at all times, inspect my surroundings for possible risk and determine for myself that conditions are acceptable for me to commence or continue my participation in the Activities. I also agree my attendance, commencing or continuing, indicates acceptance of all hazards involved.

I acknowledge that the Releasees are not able to assist with getting clients in and out of our float rooms. By singing this form you are acknowledging that you are able to get in and out of the float room by yourself. It is up to each individual to take caution to prevent slipping or falling as floor surfaces may be wet. The facility is cleaned between each flotation session however it is up to the customer to be cautious.

I will NOT use the floatation therapy if:

  • I have not showered thoroughly and still have oils, creams, or makeup on my body.
  • I suffer from bladder and or bowel incontinence.
  • I have had any type of hair color/treatment within the past two weeks.
  • I am pregnant and have not discussed floating with my Doctor.
  • I am under the influence of alcohol or drugs.
  • I have a communicable or infectious skin condition, disorder, or diseases.
  • I have open sores.
  • I am diabetic, and I have not discussed floating with my Doctor.
  • I have a history of heart trouble, schizophrenia, epilepsy, seizures or blackouts and have not received my doctor’s permission to use the floatation tank.
  • I am experiencing a heavy menstrual period or external vaginal episode.
  • I have a skin condition which may be adversely affected by absorption of magnesium.
  • I have recently got a tattoo
  • I am taking a medication or medications which magnesium from the Epson salt can have interactions with certain antibiotics and muscle relaxants.
  • I have kidney disease.
  • I have incontinence, or voluntarily/involuntarily release of bodily fluids of any kind.
  • I have low blood pressure which makes it hard for me to sit or stand up.

I understand that violation of any of these rules that results in contamination of the float tank water may result in a salt replacement fee of $2000.00. I take full responsibility to anything that may occur.

In consideration of the Releasees allowing me to participate in the Activities, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

  1. to waive any and all claims that I have or may have in the future against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in the Activities, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on the part of the Releasees, and further including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of participating in the Activities;
  2. that the Releasees are not liable or responsible for any damage to, loss or theft of my property; and,
  3. to hold harmless and indemnify the Releasees from any and all liability for any damage, loss, claim, action, suit or personal injury resulting, directly or indirectly, from my participation in the Activities. I further agree that if despite this Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, legal fees, loss, liability, damage or cost which may incur as the result of such claim.

This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives. This Agreement and any rights, duties and obligations as between the parties to this Agreement shall be governed by and interpreted solely in accordance with the laws of the Province of Ontario and no other jurisdiction, and any litigation involving the parties to this Agreement shall be brought solely within the Province of Ontario and shall be within the exclusive jurisdiction of the Courts of Ontario.

By entering into this Agreement I am not relying on any oral or written representations or statements made by the Releasees with respect to the safety of participating in the Activities, other than what is set forth in this Agreement.

I confirm that I have read and understood this Agreement prior to signing it, and I am aware that by signing this Agreement I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators, assigns and representatives, may have against the Releasees, and that I am signing this Agreement voluntarily, realizing that it is a legally binding document. This Agreement shall continue indefinitely.

I have read and understood the above requirement

Schedule “A”

Halotherapy Treatment

Halotherapy should be avoided for people afflicted with:

  • Acute stage of lungs diseases
  • Chronic obstructive pulmonary diseases with symptoms of the third stage of chronic lung insufficiency
  • Cardiac insufficiency
  • Hypertension stage 2
  • All internal diseases with decompensation
  • In the rare event that you experience pain or discomfort, immediately discontinue sauna use

I hereby consent to taking part in a session or multiple sessions of Halotherapy at Quantum Float & Salt Cave®. I understand that the treatment will consist of 30-45 minute sessions in the enclosed environment of the salt cave room. The potential benefits and risk of treatment have been explained to me and I have no further questions or concerns. I understand and assume all risks of possible complications as a result of the treatment from known or unknown causes. I understand Halotherapy is intended to be used as an adjunctive therapeutic tool and carries no guarantees with respect to the resolution of specific health concerns. I understand that I am not allowed to remove or displace any piece of salt rock nor touch the rocks as they are laying freely on the walls and the floor. The process of such may cause the rocks to fall and cause injury. I agree to be fully responsible for the behaviour and all actions of children, under my supervision, present in the salt cave during the session. All the above statements also apply to the children in the salt cave under my supervision. In consideration of the Releasees allowing me to participate in Halotherapy, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

  1. to waive any and all claims that I have or may have in the future against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Halotherapy, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on the part of the Releasees, and further including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of participating in Halotherapy;
  2. that the Releasees are not liable or responsible for any damage to, loss or theft of my property; and,
  3. to hold harmless and indemnify the Releasees from any and all liability for any damage, loss, claim, action, suit or personal injury resulting, directly or indirectly, from my participation in the Halotherapy. I further agree that if despite this Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, legal fees, loss, liability, damage or cost which may incur as the result of such claim.
I have read and understood the above requirement

Infrared Sauna Treatment

DO NOT USE INFRARED SAUNA IF
any of the below applies to you. Consult your physician prior to sauna use:

Cardiovascular Issues, Obesity or Diabetes – Individuals suffering from obesity or with a medical history of heart disease, low or high blood pressure, circulatory problems or diabetes should consult a physician prior to use. Heat stress increases cardiac output and blood flow in an effort to transfer internal body heat to the outside environment via the skin (perspiration) and respiratory system. This takes place primarily due to major changes in the heart rate, which has the potential to increase by thirty (30) beats per minute for each degree increase in core body temperature.

Medications – Individuals who are using prescription drugs should seek the advice of their personal physician since some medications may induce drowsiness, while others may affect heart rate, blood pressure and circulation. Diuretics, barbiturates and beta-blockers may impair the body’s natural heat loss mechanisms. Anticholinergics such as amitriptyline may inhibit sweating and can predispose individuals to heat rash or to a lesser extent, heat stroke. Some over-the-counter drugs, such as antihistamines, may also cause the body to be more prone to heat stroke.

Alcohol & Drug Abuse – Contrary to popular belief, it is not advisable to attempt to “sweat out” a hangover. Alcohol intoxication decreases a person’s judgment; therefore, he/she may not realize when the body has a negative reaction to high heat. Alcohol also increases the heart rate, which may be further increased by heat stress. The use of alcohol, drugs or medications prior to a sauna session may lead to unconsciousness.

Chronic Conditions / Diseases Associated with Reduced Ability to Sweat or Perspire – Multiple Sclerosis, Central Nervous System Tumors and Diabetes with Neuropathy are conditions that are associated with impaired sweating. Consult a physician.

Hemophiliacs / Individuals Prone to Bleeding – The use of infrared saunas should be avoided by anyone who is predisposed to bleeding.

Elderly - The ability to maintain core body temperature decreases with age. This is primary due to circulatory conditions and deceased sweat gland function. The body must be able to activate its natural cooling processes in order to maintain core body temperature. If elderly come operate at a lower temperature for no more than 15 minutes at a time.

Children - The core body temperature of children rises much faster than adults. This occurs due to higher metabolic rate per body mass, limited circulation adaptation to increased cardiac demands and inability to regulate body temperature by sweating. When operating with a child operate at a lower temperature no more than 15 minutes at a time.

Fever & Insensitivity to Heat – Individuals with insensitivity to heat or who have a fever should not use the sauna until the fever subsides. Pregnancy – Pregnant should not be using an infrared sauna.

Menstruation – Heating of the low back area of women during the menstrual period may temporarily increase menstrual flow. This should not preclude sauna use.

Joint Injury – Recent (acute) joint injury should not be heated for the first 48 hours or until the swollen symptoms subside. Joints that are chronically hot and swollen may respond poorly to vigorous heating of any kind.

Implants – Metal pins, rods, artificial joints or any other surgical implants generally reflect infrared waves and thus are not heated by this system. Nevertheless, you should consult your physician prior to using.

Pacemakers / Defibrillators – The magnets used to assemble our saunas can interrupt the pacing and inhibit the output of pacemakers. Please discuss with your doctor the possible risks this may cause.

I hereby understand that the infrared sauna is a detoxification tool. Usage may result in an exacerbation of some symptoms. The infrared sauna is a gentle non-invasive method to promote detoxification and support the body’s immune system. The infrared sauna is intended to be used as a adjunctive therapeutic tool and carries no guarantees with respect to the resolution of specific health concerns. I understand that no claims, promises, or guarantees are being made by the Releasees and those connected or associated to the entity about the results through the use of the infrared sauna. I accept full responsibility for any results that may occur due to the use of this treatment. I understand and assume all risks of possible complications as a result of the treatment from known or unknown causes. In consideration of the Releasees allowing me to participate in Infrared Sauna Treatment, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

  1. to waive any and all claims that I have or may have in the future against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Infrared Sauna Treatment, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on the part of the Releasees, and further including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of participating in Infrared Sauna Treatment;
  2. that the Releasees are not liable or responsible for any damage to, loss or theft of my property; and,
  3. to hold harmless and indemnify the Releasees from any and all liability for any damage, loss, claim, action, suit or personal injury resulting, directly or indirectly, from my participation in the Infrared Sauna Treatment. I further agree that if despite this Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, legal fees, loss, liability, damage or cost which may incur as the result of such claim.
I have read and understood the above requirement

Consent for Hand & Foot Himalayan Salt Block Detox

I understand that the Foot Detox on Himalayan Salt Blocks is a detoxification tool. It is intended to be used as a adjunctive therapeutic tool and carries no guarantees with respect to the resolution of specific health concerns. If you are sick, please consult with your doctor before beginning a foot detox session. I understand that no claims, promises, or guarantees are being made by the the Releasees and those connected to the entity about the results through the use of the foot detox. I understand and assume all risks of possible complications as a result of the treatment from known or unknown causes. I understand that I am not allowed to change the temperature for feet detox and should be used properly at all times. I have or will be shown that the foot detox devices are set to a pre-regulated temperature between 35-40 degrees and understand that this temperature has been predetermined and set to be safe for all who use the tool. If this temperature changes due to my own means I take full responsibility to anything that may occur. In consideration of the Releasees allowing me to participate in Himalayan Salt Block Detox, and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged, I hereby agree as follows:

  1. to waive any and all claims that I have or may have in the future against the Releasees and to release the Releasees from any and all liability for any loss, damage, expense or injury, including death, that I may suffer or that my next of kin may suffer, as a result of my participation in Himalayan Salt Block Detox, due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care, on the part of the Releasees, and further including the failure on the part of the Releasees to take reasonable steps to safeguard or protect me from the risks, dangers and hazards of participating in Himalayan Salt Block Detox;
  2. that the Releasees are not liable or responsible for any damage to, loss or theft of my property; and,
  3. to hold harmless and indemnify the Releasees from any and all liability for any damage, loss, claim, action, suit or personal injury resulting, directly or indirectly, from my participation in the Himalayan Salt Block Detox. I further agree that if despite this Agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, legal fees, loss, liability, damage or cost which may incur as the result of such claim.
I have read and understood the above requirement.

Consent to other services

By signing this portion of the consent form I accept full legal liability while attending or engaging in any and all services, classes, or therapy sessions at Quantum Float & Salt Cave®. I release the Releasees from any financial liability, legal actions, lawsuits and claims of any nature.

I have read and understood the above requirement

A Parent or Legal Guardian Signature is required if you are under the age of 18