Hydromassage Liability Waiver
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
I agree with the following:
I will not abuse the HydroMassage bed. I will keep it clean after each use and wear no shoes in the bed. I also know that only one person will be using the bed at a time.
I am aware that HydroMassage has risks that can be created by action, inaction, and negligence. I have given enough information and asked every question. I have enough time to consider other options and I am the one that chooses HydroMassage at my own will. I understand that I am the one responsible for my own safety.
I, my heirs and my representatives will not hold the company, its employees, or its agents responsible in any way for the actions of the HydroMassage.
I am giving my consent to receive HydroMassage.
Date
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Month
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Day
Year
Date
Signature
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