Parent/Guardian Declaration

Parent/Guardian Declaration
Child's Full Name:

First NameLast Name
Child's Date of Birth:
Parent/Guardian Full Name:
Relationship to Child:
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Waiver & Consent
I confirm that I am the parent or legal guardian of the child named above.

I understand that participation in sauna sessions and associated cold-water activities may involve inherent risks, including but not limited to heat exposure, dehydration, slips, trips, falls, and adverse reactions to heat or cold.

I confirm that:
- My child is physically fit to participate.
- I have disclosed any relevant medical conditions that may affect their participation.
- Children under 16 will remain under the supervision of a parent or guardian at all times.
- I understand that ABERPOETH staff are not responsible for supervising children.
- I accept responsibility for my child's conduct and safety throughout their visit.
- I agree to follow all sauna rules, guidance, and instructions provided by ABERPOETH staff.
I acknowledge the risks involved and voluntarily permit my child to participate in sauna activities at ABERPOETH.
Medical Conditions
Please list any medical conditions, allergies, medications, or relevant health information:
Emergency Contact (if different from Parent/Guardian)
Name

First NameLast Name
Phone Number

Area CodePhone Number
Signature

I confirm that the information provided is accurate and that I have read and understood this waiver.
Date

MonthDayYear
Date
Should be Empty:

Parent/Guardian Declaration

Waiver & Consent

Emergency Contact (if different from Parent/Guardian)