TKR Waiver

    Please READ the questions carefully BEFORE you answer, and include the DATE and TIME of your scheduled ice. Your privacy is respected.

    Have you had a fever in the last 24 hours of 100 F or 38 C or above?

    Do you now, or have you recently had, any respiratory or flu symptoms , shortness of breathe?

    Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID -19 or has any symptoms of Covid-19?

    Have you been intructed to self isolate, or been in contact with anyone who has?

    COVID -19 is a highly contagious virus that spreads from person to person. In addition to the long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread. However, these best practices still offer no guarantee regarding your potential risk of being infected. Do you ackowledge that you are aware of the risks involved from entering this business?

    I understand there may be an elevated risk of COVID -19. I acknowledge that I am aware of the risks involved from entering this business, receiving a treatment or participating in any activities. I voluntarily agree to assume those risks, and I release and hold harmless the business owners and their staff from any claims related thereto.

    Parent or Guardian consent (in case of minor)

    Would you like to receive an email notifying you of upcoming events, programs or specials offered here at the facility (including Glowgirl Skincare), we respect your privacy.

    Have you received TWO Covid vaccinations? And received your 2nd dose a minimum of 14 days ago?

    By clicking Submit below, you agree all information is true, and accurate. Note: Proof of vaccination and ID is required to enter facility.