Day Spa Liability Waiver Form

Participant Agreement, Release, and Acknowledgement of Risks

Guest Information:

Full Name: [FULL NAME]
Date of Birth: [DATE OF BIRTH]

Understanding and Acceptance of Risks

I, [FULL NAME], understand and acknowledge the following:

  1. Potential Risks: Although day spa treatments are generally safe, they may have potential risks depending on individual health conditions, sensitivities, or allergies. Possible reactions can range from minor irritations to allergic reactions or other adverse effects.
  2. Health Declaration: I affirm that I have informed [DAY SPA NAME] of any known allergies, sensitivities, medical conditions, or medications that may affect my treatment outcome. I will communicate any discomfort or concerns during the procedure to the spa professional.
  3. Voluntary Participation: I am voluntarily seeking services from [DAY SPA NAME] and acknowledge the potential risks associated with spa treatments.

Liability Release

I hereby release, indemnify, and hold harmless [DAY SPA NAME], its agents, and employees from any claims, damages, liabilities, or demands resulting from any harm, injury, or adverse reaction I might experience as a result of the services provided.

For Guests Under 18 Years of Age

If the guest is under 18 years of age, this form must be read and signed by a parent or guardian.

I, [PARENT/GUARDIAN FULL NAME], as the parent or guardian of the above-named minor, have read, understood, and agreed to this liability waiver form on behalf of my child.

Guest Signature and Contact Details

Participant is Age 18.

Name: Mobile Phone: Email:


Full Name: ____________________________
Phone: ____________________________
Email: ____________________________
Signature: ____________________________ Date: __________
Emergency Contact Name: ____________________________
Emergency Contact Phone: ____________________________

For Guests Under 18:

Parent/Guardian Name: ____________________________
Parent/Guardian Signature: ____________________________ Date: __________

*Note: This Day Spa Liability Waiver Form is intended as a general guideline. It's crucial to consult with a legal expert in your jurisdiction to ensure its enforceability and compliance with local laws.