Zion Spa COVID-19 Liability Waiver and Health History Form
Email address *
Date *
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Full Name *
Date of Birth *
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Phone Number *
Do you have any health conditions that we should be aware about? *
If you are coming in for a Massage Therapy Treatment, what brings you in today?
I attest that: *
Required
I understand that this release discharges Zion Spa Inc. from any liability or claim that I, my heirs, or any personal representatives may have against the Spa with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Zion Spa Inc. This liability waiver and release extends to the Spa together with all owners, partners, and employees. Please sign your full name: *
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