Form cover
Page 1 of 3

Health And Safety Waver

We can't wait to see you ❤️
To ensure everyones safety please can you fill in the disclaimer below

Assumption of responsibility

The signatory of this document agrees to be held responsible for ensuring that all members of their party and their guests are aware of and follow the guidelines in order to ensure a safe environment for all.

We discourage people to practice the activities in case of epilepsy, Raynaud’s syndrome type II or pregnancy. For any serious health condition, the participant should first consult their doctor. Furthermore, additional care should be taken for some participants. following conditions:

• People who have heart problems, or blood pressure that is (much) too high and who use medication for this
• Kidney failure
• Angina Pectoris
• Raynaud’s syndrome (type I)
• Migraines - people can experience sudden migraines when entering the ice
bath.
• Shortly after an operation
• Panic disorder -
• Cold urticaria
• Severe asthma -

Health and safety

I will act accordingly to keep myself and others safe at all times whilst using the the breathing, Cold plunge, Ice bath and Sauna. My participation in the activities is voluntary and I can refuse to participate or quit participating in the activities at any time for any reason. If I see other bathers behaving inappropriately or dangerously,
I understand that if I act in a way to cause other members to feel distressed or offended, through inappropriate language, sexual comments, nonconsensual nudity or other offensive behaviour, that I will be asked to leave the activity.
My filling out and submission of this form means I have carefully read the disclaimer and agree with its contents.

Your Details

Emergency Contact

Date signed the disclaimer

Untitled checkboxes field