Disclaimer (To be signed at session)

Float tank therapy has many benefits mental, physical and spiritual, which has resulted in you experiencing this float session today. Please read through and answer the below.

I, __________________________ can confirm that the attendant at Go Deep Floatation Therapy has explained to me the below(If you do not feel comfortable with any of the below, please tell us now and we can go through this with you. If you are happy with the information provided, please tick next to the statement in the box provided)

To ensure a comfortable, clean and safe floatation experience, I agree to the following:

  • I have read all the Do’s and Dont’s prior the appointment and agree to all of them. (These are also attached to the form if you would like to refresh yourself). [ ]

  • The isopod is situated in a wet room, therefore I will take extra care for my own safety. I assume any and all liability due to injury or damage resulting from any slip and fall incident as I have been made aware of the risks [ ]

  • I agree to shower with soap and shampoos thoroughly before each of my float sessions to completey remove all dirt, lotions and oils from my body. [ ]

  • I agree that any cologne, perfume, makeup or creams will be full removed from by body and face prior to entering the float tanks. [ ]

  • If pregnant, I have consulted with and have permission from my widwife or GP to use the floatation tank. [ ]

  • I understand that in order to keep within my time frame for my floatation session, I will limit my showering time to no more than 5 minutes. [ ]

  • I do not have any communicable or infectious disease, illness or skin disorders. [ ]

  • I do not suffer from uncontrolled seizures, epilepsy or incontinence [ ]

  • I am physically capable of getting in and out of the float tank on my own. If unable, I agree that I will arrive with a certified person to help me in and out of my session [ ]

  • I am not under the influence of any medication, illegal drugs or alcohol [ ]

  • I do not have a condition nor am I on any medication which may adverse effects due to immersion in the concentrated magnesium sulfate (Epsom salt) water solution [ ]

  • I understand floating may lower blood pressure and I must take extra care when standing up after my float. If I have a history of high blood pressure, I have medical authorisation to float [ ]

  • I understand that if I suffer from vertigo when lying down, the same could occur during a float session [ ]

  • If i have chronic heart or kidney disease, I have medical authorisation to float [ ]

  • If I am diabetic with insulin dependance, I have medical authorisation to float [ ]

Signed ___________________________________________

Print Name ________________________________________

Date _____________________________________________