Infrared Sauna

Name*

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Address*

Street Address

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Birth Date*

Date

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Emergency Contact Person*

First NameLast Name

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Have you ever used an infrared sauna before?*

YesNo

Are you pregnant?*

YesNo

Are you taking any medications?*

YesNo

Diagnosed with any medical condition, such as Anhidrosis, that may limit or prevent your ability to sweat?*

YesNo

Do you have unstable angina?*

YesNo

Have you had a recent heart attack?*

YesNo

Do you have severe arterial disease?*

YesNo

Have you been diagnosed with any other medical condition?*

YesNo

If “yes” to any of the above questions, please explain your condition. ( If no, please put N/A).*

It is always important to maintain proper hydration levels during far infrared therapy. Dehydration will actually increase carbohydrate utilization and cause less fat to be burned for energy. We highly recommend drinking a minimum of 4 oz. of water prior to entering the sauna and a minimum of 8 oz. of water after sauna use.

FULL SPECTRUM INFRARED SAUNA AGREEMENT/ ACKNOWLEDGMENT

The use of drugs, medication or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness. Please consult your physician if you are in doubt of your ability to use the far infrared for health reasons. No one under the age of 18 is permitted in the far infrared sauna unless accompanied by a supervising adult. Discontinue the use of the sauna if you feel light-headed, dizzy or heat exhausted. Sauna sessions should be limited to no more than 45 minutes and temperatures must stay below 150 degrees Fahrenheit. Water bottles are not permitted in the sauna. Clients using any medications must consult a physician or pharmacist prior to the use of the sauna. Pregnant women should consult their physician prior to the use of the sauna. Excessive body temperatures have a potential for causing fetal damage during the early days of pregnancy. For safety reasons, there is a weight limit of no more than 300 lbs. per person in order to utilize sauna.

I acknowledge and accept the risks inherent in the use of the Clearlight sauna. I voluntarily assume the risk of injury, accident, or death which may arise from the use of the Clearlight sauna. I and any of my heirs, executors, representatives, or assigns hereby release Sherrielee Holistic Skin Spa from all claims or liabilities for personal injury or property damages of any kind sustained while on the premises, during the use of the Clearlight sauna and from any advice provided by an employee, independent contractor or any representative thereof.

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Infrared Sauna Form