Bath Salts

PLEASE COMPLETE THE FOLLOWING FORMS IN PREPARATION FOR YOUR APPOINTMENT
OR

Each guest is required to complete all forms. Thank you.

Health Declaration

Please fill out the following form
in order to receive services at our Spa.

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

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Tranquility Rules and Guidelines

In order to ensure your safety, we have a few guidelines that we REQUIRE you to follow:

 

Guidelines

  1. No smoking.
    In accordance with the State of Ohio ban on smoking in public places, smoking is prohibited in the lobby, suites, and spa area. This includes the use of tobacco, e-cigarettes, marijuana, and hookah. If it is determined by management that you have not abided by this policy, fees for cleaning or damages will be assessed.

  2. The consumption of alcohol is prohibited by the State of Ohio.
    The consumption of alcohol prior to or while hot tubbing is dangerous! Alcohol may dilate blood vessels and lower blood pressure. Dilated blood vessels in the stomach allow alcohol to enter the bloodstream much faster than normal. Lowered blood pressure means the alcohol will be slower in exiting the bloodstream. While hot tubbing, the effects of alcohol will be felt sooner and more intensely and last longer than under normal conditions.

  3. No glass bottles or containers, food, candles, or flower petals are permitted.
    Glass may break and pose a serious danger on the deck and in the tub.
    Food, candles, and flower petals tend to create messes. An additional cleaning fee may be charged to anyone failing to follow these rules.

  4. Oils, body lotions, and minerals in the water are prohibited.
    Any of these substances will upset the delicate chemical balance of the water, possibly resulting in a less than ideal pH level or bromine level. They also may clog and damage our filters. The spa fragrances that we sell are specifically made for use in hot tubs and do not affect the pH or bromine levels, nor do they harm our filters.

  5. Please shower before and after using the hot tub.
    It is important to shower before using the hot tub to remove all body oils, hair spray/gel, perfumes, etc. as they will affect the chemistry of the water.
    It is important to shower after using the hot tub because some people are sensitive to the bromine in the water. Showering after tubbing will help reduce the chance of having a reaction to the bromine residue left on your skin upon getting out of the tub. Soapy showers are the most effective in accomplishing these goals.

  6. Long exposure may result in nausea, dizziness, and fainting.
    These are symptoms of lowered blood pressure that may result from prolonged exposure. When blood pressure falls, less blood reaches the brain causing dizziness and fainting. Get in and out of the hot tub frequently to regulate body temperature, and stay hydrated.

  7. Please be careful, decks can be slick. Always exit and enter the tubs slowly and cautiously. Wet feet, slippery tubs, and icy decks combine to make exiting and entering the tubs a potentially dangerous activity. Guests are encouraged to move very carefully to and from their tub.

  8. Elderly persons and those suffering from heart disease, diabetes, high or low blood pressure, and those on medication should not use hot tubs without first consulting a physician. Sitting in a hot tub dilates blood vessels, raises body temperature, lowers blood pressure, or raises blood pressure depending on the individual. All of these factors have significant effects on the disorders listed above. In reference to elderly people, they are more susceptible to lowered blood pressure and subsequent fainting due to the potential loss of elasticity of their blood vessels. Lowered blood pressure stresses the heart as the heart works harder to bring blood pressure up to a good level. Lowered blood pressure and blood vessel dilation have a significant effect on medication absorption.

  9. Pregnant women are advised not to use the hot tubs without first consulting their physician. Sitting in a hot tub is a great way to ease muscle aches. However, during pregnancy, hot tubs should be used cautiously or not at all. There are risks associated with raising your body temperature for a prolonged period of time during pregnancy. Your doctor can help you make the best decision based on your circumstances. Regulating your body temperature will be extremely important if you decide to soak while you’re expecting. Also, keep in mind that our summer cool tubs are a great way to enjoy the benefits of jets in the tub without the risk of raising body temperatures!

  10. Please stay home if you are sick. Written permission from a physician may be required for those suffering from a possibly infectious condition or contagious disease before being granted the use of a hot tub.

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Emergency Contact Form

YOUR OWN DETAILS:

If you have a form on file, provide your name and email only.

YOUR EMERGENCY CONTACT DETAILS:

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We’ll contact this person only in case of emergency.

Tranquility Spa Liability Waiver
YOU DO NOT HAVE TO COMPLETE THIS FORM IF YOU HAVE ONE ON FILE.

Please take a moment to carefully read the following information and sign where indicated.

 

In consideration of my participation in Spa Services (hydrotherapy, halotherapy, heat therapy, and Vichy Shower massage) at Tranquility Spa (the “Facility”).

 

I hereby release, discharge and covenant not to sue Tranquility Hot Tubs & Med Spa, Inc. Including their respective directors, officers, employees, agents representatives, insurers, clients, successors, assigns, and any property owners, (“Released Parties”) and further release from liability the released Parties from any and all claims, losses damages, or liability, INCLUDING LOSSES DUE TO THE NEGLIGENCE OF RELEASED PARTIES WHEN PERFORMING ANY SPA SERVICES, (“Losses”) resulting on personal injury, accidents or illnesses (including death), and property loss, including theft, arising from participation in the Spa Services or using the Facility.

 

Released Parties are not liable for any theft, or loss of personal property, including jewelry or other personal items. In no event shall the Released Parties be liable for property exceeding $1,000 and will only be liable for that amount if the item was registered with the Facility and the loss was caused solely by the fault of the Related Parties.

 

I understand that the staff does not diagnose illness or prescribe medical treatments or pharmaceuticals and that services rendered by the staff are not medical in nature and are not a substitute for diagnosis and treatment by a licensed medical professional.

 

I have consulted a physician regarding participation in the Spa Services and I shall update my service provider with any changes in my health, and my services provider shall not be liable should I fail to do so.

 

I hereby understand that my participation in the Spa Services shall carry certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. I HEREBY STATE THAT MY PARTICIPATION IN THE SPA SERVICES IS VOLUNTARY, AND I ASSUME ALL RISKS.

 

While all Spa services are considered safe, there is still a possible risk with all services.

 

Risks include, but are not limited to: MINOR RISKS: minor injuries such as bruises, improper product application, scratches, skin irritation, and allergic reactions.

 

MAJOR RISKS: such as dermatological skin reactions, heart attacks, allergic reactions, or personal injury. MAJOR RISKS ARE HIGHLY UNLIKELY, HOWEVER, FOR LEGALITY SAKE, IT IS INCLUDED IN THE WAIVER.

 

By entering your name below and submitting this form you certify to have read and understand this waiver.

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