Check-in Waiver

  • PERSONAL INFORMATION

  • Click here to read The Beer Spa's terms & conditions and privacy policy.

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JotForm.prepareCalculationsOnTheFly([null,{"name":"personalInformation","qid":"1","text":"PERSONAL INFORMATION","type":"control_head"},{"name":"submit2","qid":"2","text":"Submit","type":"control_button"},null,null,{"name":"dueTo5","qid":"5","text":"The individual named below (referred to as "I" or "me") desires to participate in in the use of the taproom and spa facilities, which may include various spa activities including beer baths, massage chairs, infrared saunas, cold plunges, and consumption of alcohol (the "Activity") provided by The Beer Spa, LLC and Snug Cosmetics, LLC (the "Spa"). In consideration of being permitted by the Spa to participate in the Activity in recognition of the Spa’s reliance hereon, I agree to all the terms and conditions set forth in this document (this "Release"). The term Spa includes all employees and staff working at the Spa during the time of the Activity. \nI AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY DANGEROUS ACTIVITY AND INVOLVES THE RISK OF SERIOUS INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE. I AM ALSO AWARE OF THE CONTAGIOUS NATURE OF BACTERIAL AND VIRAL DISEASES INCLUDING BUT NOT LIMITED TO THE 2019 NOVEL CORONAVIRUS DISEASE (COVID) (COLLECTIVELY “DISEASE”) AND THE RISK I MAY BE EXPOSED OR CONTRACT THE DISEASE BY ENGAGING IN THE ACTIVITY WHICH MAY RESULT IN SERIOUS ILLNESS, SERIOUS INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGES. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF THE SPA OR ITS PATRONS, INCLUDING NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE SPA. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE ARISING FROM THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE SPA OR OTHERWISE.\nI ACKNOWLEDGE AND AGREE THAT I HAVE RECEIVED A COPY OF THE SPA POLICIES AND HAVE READ THE SPA POLICIES AND WILL ABIDE BY THE SPA POLICIES.\nI ACKNOWLEDGE AND AGREE THAT I AM RESPONSIBLE FOR MY OWN HEALTH; THAT THE SPA ASSOCIATES AND\u002FOR TECHNICIANS ARE NOT HEALTH CARE PRACTITIONERS AND CANNOT DIAGNOSE AND\u002FOR TREAT INDIVIDUAL HEALTH PROBLEMS. I UNDERSTAND THAT I AM RESPONSIBLE FOR DISCUSSING ANY QUESTIONS THAT I MAY HAVE CONCERNING MY HEALTH CONDITIONS (IF ANY) THROUGHOUT ANY ACTIVITY AT THE SPA AND SHOULD HEALTH-RELATED SYMPTOMS OCCUR, I WILL CEASE MY PARTICIPATION AND INFORM THE SPA PERSONNEL IMMEDIATELY.\nI ACKNOWLEDGE AND AGREE THAT THE SPA HAS THE RIGHT TO ENTER ANY THERAPY ROOM AT ANYTIME FOR ANY REASON (“Right Of Entry”), INCLUDING BUT NOT LIMITED TO A POTENTIAL EMERGENCY, A PATRON’S (INCLUDING ME) FAILURE TO LEAVE THE THERAPY ROOM(S) ON TIME OR AS REQUESTED BY THE SPA, OR ANY OTHER REASON REASONABLY DETERMINED BY THE SPA TO REQUIRE ENTRY INTO ANY THERAPY ROOM, INCLUDING FOR THE SAFETY OF THE SPA, SPA PROPERTY, AND SPA PATRONS.\nREGARDLESS OF THESE RISKS LISTED ABOVE, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGERS INVOLVED. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE ARISING FROM MY ENGAGING IN THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE SPA, OTHER SPA PATRONS, OR OTHERWISE.\nI hereby expressly waive and release any and all claims, now known or hereafter known against the Spa, and its officers, directors, managers, employees, agents, affiliates, successors, and assigns (collectively, “Releasees”) on account of injury, disability, death, property damage, or any other damages arising out of or attributable to my participation in the Activity, whether arising out of the ordinary negligence of the Spa or any Releasees, or any other patrons of the Spa, the Spa's Right of Entry, or otherwise. I covenant not to make or bring any such claim against the Spa or any other Releasees, and forever release and discharge the Spa and all other Releasees from liability under such claims. This waiver and release does not extend to any other liabilities that Colorado law does not permit to be released by agreement.\nI confirm that I am: (a) in good health, in proper physical condition, and do not have any medical or other conditions that would impair my ability to participate in the Activity; and (b) not experiencing symptoms of a Disease (such as cough, shortness of breath, fever), or bacterial or fungal infections, do not have a confirmed or suspected case of COVID or a bacterial or fungal infection, and have not come in contact in the last 14 days with a person who has been confirmed to have or suspected of having COVID. I will comply with all federal, state, and local laws, orders, directives, guidelines, and the Spa Policies related to the Activity and the Disease while participating in the Activity, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings and safety equipment. I will also follow all instructions, recommendations, and cautions of the Spa at all times during the Activity. If at any time I believe conditions to be unsafe, that I am no longer in proper physical condition to participate in the Activity, or I begin experiencing symptoms of COVID, I will immediately discontinue further participation in the Activity.\nI hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and\u002For evacuation. I hereby release, forever discharge, and hold harmless the Spa from any claim based on such treatment or other medical services.\nThis Release constitutes the sole and entire agreement of the Spa and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of the Spa and their respective successors and assigns and me. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of Colorado without giving effect to any choice or conflict of law provision or rule (whether of the State of Colorado or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Denver County, Colorado, and I hereby consent to the exclusive jurisdiction of such courts.\nBY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE SPA. ","type":"control_text"},null,null,{"name":"signature8","qid":"8","text":"Signature ","type":"control_signature"},null,null,null,null,null,{"name":"the20beer20spa_final_original6013577722816445331947","qid":"14","text":"The%20Beer%20Spa_FINAL_Original.60135777228164.45331947","type":"control_image"},null,null,null,null,null,{"name":"ltpgttheIndividual","qid":"20","text":"Despite being aware of the risks involved in the use of the Spa and its activities, services, and treatments and I voluntarily desire and agree to the use the Spa and its related services. I agree an understand that:\n\nThe Spa does not provide a lifeguard for the baths and I bathe at my own risk;\nI assume the risk for drowning, slipping, and falling in and around the bath facilities;\nIt is my responsibility to be aware of any sensitivity I may have to bath sanitizing chemicals or additives; and\nThere are potential risks relating to the application of natural and chemically treated substances to my body and that the Spa is not responsible for any allergic reactions.\nThe Spa is not responsible for the actions or inactions of other Spa patrons.\n\nCONTRAINDICATIONS\nIn the event that I have reason to believe that medical clearance must be obtained prior to participation in any activity, treatment, or service at the Spa, I agree to first consult a physician and obtain written permission from a physician prior to the commencement of any activity, treatment or service at the Spa. I also acknowledge that the medical conditions listed below are not an exclusive list and that there may be conditions not explicitly stated that would require me to obtain medical clearance.\n I acknowledge that it is my responsibility to consult with a physician prior to using the infrared saunas if any of the following conditions apply to me:\n\nCardiovascular Issues, Obesity or Diabetes Prescription Medications\nAlcohol & Drug Abuse Elderly or Children\nChronic Conditions or Diseases Associated With Reduced Ability To Sweat Hemophiliacs & Individuals Prone To Bleeding\nFever & Insensitivity to Heat Pregnancy\nMenstruation\nRecent Acute Joint Injury Implants\nPacemakers & Defibrillators\n\nI acknowledge that it is my responsibility to consult with a physician prior to using the beer baths if any of the following conditions apply to me:\n\nHeart & Valvular Diseases Diabetes\nDiseases of Malignant Origin Vascular Disorders\nHigh Blood Pressure Low Blood Pressure Pregnancy\nPrescription Medications\n\nI acknowledge that it is my responsibility to consult with a physician prior to using the massage chairs if any of the following conditions apply to me:\n\nCardiovascular Issues Circulatory Issues Diabetes Osteoporosis Malignant Tumors Sensory Impairment\nPregnancy or Suspected Pregnancy Having Recently Given Birth\nAcute Gastrointestinal Issues Serious Skin Conditions\nJoint Dysfunctions, including Rheumatism, Hammer Toe, Gout Thecitis or Suspected Thecitis\nHigh Fever\nSpinal Abnormalities Scoliosis\nAcute Neck Sprain (Whip Lash) Implants\nPacemakers \u002F Defibrillators\n\nRIGHT TO REFUSE SERVICE\nI acknowledge that the Spa reserves the right to refuse service to anyone for any reason(s) that does not violate Federal or State laws. I acknowledge that the Spa will refuse service for: refusal or failure to pay for services, treatments, or alcohol; being under the influence of alcohol, drugs, or any other intoxicating substance; acting in a disorderly fashion as to disturb the peace of other guests; not acting in compliance with state liquor laws; being unable to properly supervise children at all times; seeking to use the Spa for an unlawful purpose; seeking to bring a firearm into the Spa; seeking to bring into the Spa any drugs, illegal, or illicit substances; destroying, damaging, defacing, or threatening to harm the Spa property or guests; refusing to abide by the reasonable standards or policies established by the Spa.\nDAMAGE AND\u002FOR THEFT OF PROPERTY\nI understand and agree that the Spa is not responsible for personal property that is left, lost, stolen, or damaged while in, on, or about the premises.\nI also acknowledge that I am liable for any damage that I cause to the premises or property, whether by deliberate, negligent, or reckless act. I acknowledge that the Spa is not responsible for any damage to my property while participating in any activity, service, or treatment at the Spa. I acknowledge that the Spa reserves the right to retain my credit card and\u002For debit card details as presented during booking and to charge the credit \u002Fdebit card such amounts as it shall in its sole discretion deem necessary to compensate or make whole the cost or expenses incurred or suffered by the Spa. I acknowledge that should this damage come to light after I have departed, the Spa reserves the right and I hereby authorize the Spa to charge my credit or debit card for any damage incurred, including and without limitation, for all property damage, missing or damaged items, smoking fee, and cleaning fee.\nI agree to be charged the following amounts for the theft of the following items from the Spa, whether taken intentionally or unintentionally:\n\nRobe: $40\nSlippers: $20\nTumbler: $20\nCosmetic Products: Retail Price + 20%\n\nI HAVE CAREFULLY READ THE ABOVE SPA POLICIES AND VOLUNTARILY AGREE TO ALL TERMS LISTED ABOVE.","type":"control_text"},{"name":"spaPolicies","qid":"21","text":"SPA POLICIES","type":"control_head"},null,null,{"description":"","name":"signature","qid":"24","subLabel":"","text":"Signature ","type":"control_signature"},{"description":"","name":"email","qid":"25","subLabel":"","text":"Email","type":"control_email"},null,null,null,null,null,null,{"name":"pageBreak","qid":"32","text":"Page Break","type":"control_pagebreak"},{"name":"releaseamp33","qid":"33","text":"RELEASE & WAIVER OF LIABILITY AND ASSUMPTION OF RISK","type":"control_head"},{"name":"dateamp","qid":"34","text":"Date & Time","type":"control_widget"},{"description":"","name":"zipCode","qid":"35","subLabel":"","text":"Zip Code","type":"control_textbox"},null,null,{"description":"","name":"birthday","qid":"38","text":"Birthday","type":"control_datetime"},{"name":"pageBreak39","qid":"39","text":"Page Break","type":"control_pagebreak"},{"name":"dateamp40","qid":"40","text":"Date & Time","type":"control_widget"},null,null,null,null,null,null,null,null,null,{"description":"","name":"checkBelow","qid":"50","text":"Check below to indicate that you have read and agree with The Beer Spa's terms & conditions and privacy policy.","type":"control_checkbox"},null,null,{"name":"input53","qid":"53","text":"Click here to read The Beer Spa's terms & conditions and privacy policy. ","type":"control_text"},{"description":"","name":"name54","qid":"54","text":"Name","type":"control_fullname"}]); setTimeout(function() { JotForm.paymentExtrasOnTheFly([null,{"name":"personalInformation","qid":"1","text":"PERSONAL INFORMATION","type":"control_head"},{"name":"submit2","qid":"2","text":"Submit","type":"control_button"},null,null,{"name":"dueTo5","qid":"5","text":"The individual named below (referred to as "I" or "me") desires to participate in in the use of the taproom and spa facilities, which may include various spa activities including beer baths, massage chairs, infrared saunas, cold plunges, and consumption of alcohol (the "Activity") provided by The Beer Spa, LLC and Snug Cosmetics, LLC (the "Spa"). In consideration of being permitted by the Spa to participate in the Activity in recognition of the Spa’s reliance hereon, I agree to all the terms and conditions set forth in this document (this "Release"). The term Spa includes all employees and staff working at the Spa during the time of the Activity. \nI AM AWARE AND UNDERSTAND THAT THE ACTIVITY IS A POTENTIALLY DANGEROUS ACTIVITY AND INVOLVES THE RISK OF SERIOUS INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE. I AM ALSO AWARE OF THE CONTAGIOUS NATURE OF BACTERIAL AND VIRAL DISEASES INCLUDING BUT NOT LIMITED TO THE 2019 NOVEL CORONAVIRUS DISEASE (COVID) (COLLECTIVELY “DISEASE”) AND THE RISK I MAY BE EXPOSED OR CONTRACT THE DISEASE BY ENGAGING IN THE ACTIVITY WHICH MAY RESULT IN SERIOUS ILLNESS, SERIOUS INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGES. I ACKNOWLEDGE THAT ANY INJURIES THAT I SUSTAIN MAY RESULT FROM OR BE COMPOUNDED BY THE ACTIONS, OMISSIONS, OR NEGLIGENCE OF THE SPA OR ITS PATRONS, INCLUDING NEGLIGENT EMERGENCY RESPONSE OR RESCUE OPERATIONS OF THE SPA. NOTWITHSTANDING THE RISK, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ACCEPT AND ASSUME ANY AND ALL RISKS OF INJURY, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE ARISING FROM THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE SPA OR OTHERWISE.\nI ACKNOWLEDGE AND AGREE THAT I HAVE RECEIVED A COPY OF THE SPA POLICIES AND HAVE READ THE SPA POLICIES AND WILL ABIDE BY THE SPA POLICIES.\nI ACKNOWLEDGE AND AGREE THAT I AM RESPONSIBLE FOR MY OWN HEALTH; THAT THE SPA ASSOCIATES AND\u002FOR TECHNICIANS ARE NOT HEALTH CARE PRACTITIONERS AND CANNOT DIAGNOSE AND\u002FOR TREAT INDIVIDUAL HEALTH PROBLEMS. I UNDERSTAND THAT I AM RESPONSIBLE FOR DISCUSSING ANY QUESTIONS THAT I MAY HAVE CONCERNING MY HEALTH CONDITIONS (IF ANY) THROUGHOUT ANY ACTIVITY AT THE SPA AND SHOULD HEALTH-RELATED SYMPTOMS OCCUR, I WILL CEASE MY PARTICIPATION AND INFORM THE SPA PERSONNEL IMMEDIATELY.\nI ACKNOWLEDGE AND AGREE THAT THE SPA HAS THE RIGHT TO ENTER ANY THERAPY ROOM AT ANYTIME FOR ANY REASON (“Right Of Entry”), INCLUDING BUT NOT LIMITED TO A POTENTIAL EMERGENCY, A PATRON’S (INCLUDING ME) FAILURE TO LEAVE THE THERAPY ROOM(S) ON TIME OR AS REQUESTED BY THE SPA, OR ANY OTHER REASON REASONABLY DETERMINED BY THE SPA TO REQUIRE ENTRY INTO ANY THERAPY ROOM, INCLUDING FOR THE SAFETY OF THE SPA, SPA PROPERTY, AND SPA PATRONS.\nREGARDLESS OF THESE RISKS LISTED ABOVE, I ACKNOWLEDGE THAT I AM VOLUNTARILY PARTICIPATING IN THE ACTIVITY WITH KNOWLEDGE OF THE DANGERS INVOLVED. I HEREBY AGREE TO ACCEPT AND ASSUME ALL RISKS OF INJURY, ILLNESS, DISABILITY, DEATH, AND\u002FOR PROPERTY DAMAGE ARISING FROM MY ENGAGING IN THE ACTIVITY, WHETHER CAUSED BY THE ORDINARY NEGLIGENCE OF THE SPA, OTHER SPA PATRONS, OR OTHERWISE.\nI hereby expressly waive and release any and all claims, now known or hereafter known against the Spa, and its officers, directors, managers, employees, agents, affiliates, successors, and assigns (collectively, “Releasees”) on account of injury, disability, death, property damage, or any other damages arising out of or attributable to my participation in the Activity, whether arising out of the ordinary negligence of the Spa or any Releasees, or any other patrons of the Spa, the Spa's Right of Entry, or otherwise. I covenant not to make or bring any such claim against the Spa or any other Releasees, and forever release and discharge the Spa and all other Releasees from liability under such claims. This waiver and release does not extend to any other liabilities that Colorado law does not permit to be released by agreement.\nI confirm that I am: (a) in good health, in proper physical condition, and do not have any medical or other conditions that would impair my ability to participate in the Activity; and (b) not experiencing symptoms of a Disease (such as cough, shortness of breath, fever), or bacterial or fungal infections, do not have a confirmed or suspected case of COVID or a bacterial or fungal infection, and have not come in contact in the last 14 days with a person who has been confirmed to have or suspected of having COVID. I will comply with all federal, state, and local laws, orders, directives, guidelines, and the Spa Policies related to the Activity and the Disease while participating in the Activity, including, without limitation, requirements related to hand sanitation, social distancing, and use of face coverings and safety equipment. I will also follow all instructions, recommendations, and cautions of the Spa at all times during the Activity. If at any time I believe conditions to be unsafe, that I am no longer in proper physical condition to participate in the Activity, or I begin experiencing symptoms of COVID, I will immediately discontinue further participation in the Activity.\nI hereby consent to receive medical treatment deemed necessary if I am injured or require medical attention during my participation in the Activity. I understand and agree that I am solely responsible for all costs related to such medical treatment and any related medical transportation and\u002For evacuation. I hereby release, forever discharge, and hold harmless the Spa from any claim based on such treatment or other medical services.\nThis Release constitutes the sole and entire agreement of the Spa and me with respect to the subject matter contained herein and supersedes all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, with respect to such subject matter. If any term or provision of this Release is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other term or provision of this Release or invalidate or render unenforceable such term or provision in any other jurisdiction. This Release is binding on and shall inure to the benefit of the Spa and their respective successors and assigns and me. All matters arising out of or relating to this Release shall be governed by and construed in accordance with the internal laws of the State of Colorado without giving effect to any choice or conflict of law provision or rule (whether of the State of Colorado or any other jurisdiction). Any claim or cause of action arising under this Release may be brought only in the federal and state courts located in Denver County, Colorado, and I hereby consent to the exclusive jurisdiction of such courts.\nBY SIGNING, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS RELEASE AND THAT I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE SPA. ","type":"control_text"},null,null,{"name":"signature8","qid":"8","text":"Signature ","type":"control_signature"},null,null,null,null,null,{"name":"the20beer20spa_final_original6013577722816445331947","qid":"14","text":"The%20Beer%20Spa_FINAL_Original.60135777228164.45331947","type":"control_image"},null,null,null,null,null,{"name":"ltpgttheIndividual","qid":"20","text":"Despite being aware of the risks involved in the use of the Spa and its activities, services, and treatments and I voluntarily desire and agree to the use the Spa and its related services. I agree an understand that:\n\nThe Spa does not provide a lifeguard for the baths and I bathe at my own risk;\nI assume the risk for drowning, slipping, and falling in and around the bath facilities;\nIt is my responsibility to be aware of any sensitivity I may have to bath sanitizing chemicals or additives; and\nThere are potential risks relating to the application of natural and chemically treated substances to my body and that the Spa is not responsible for any allergic reactions.\nThe Spa is not responsible for the actions or inactions of other Spa patrons.\n\nCONTRAINDICATIONS\nIn the event that I have reason to believe that medical clearance must be obtained prior to participation in any activity, treatment, or service at the Spa, I agree to first consult a physician and obtain written permission from a physician prior to the commencement of any activity, treatment or service at the Spa. I also acknowledge that the medical conditions listed below are not an exclusive list and that there may be conditions not explicitly stated that would require me to obtain medical clearance.\n I acknowledge that it is my responsibility to consult with a physician prior to using the infrared saunas if any of the following conditions apply to me:\n\nCardiovascular Issues, Obesity or Diabetes Prescription Medications\nAlcohol & Drug Abuse Elderly or Children\nChronic Conditions or Diseases Associated With Reduced Ability To Sweat Hemophiliacs & Individuals Prone To Bleeding\nFever & Insensitivity to Heat Pregnancy\nMenstruation\nRecent Acute Joint Injury Implants\nPacemakers & Defibrillators\n\nI acknowledge that it is my responsibility to consult with a physician prior to using the beer baths if any of the following conditions apply to me:\n\nHeart & Valvular Diseases Diabetes\nDiseases of Malignant Origin Vascular Disorders\nHigh Blood Pressure Low Blood Pressure Pregnancy\nPrescription Medications\n\nI acknowledge that it is my responsibility to consult with a physician prior to using the massage chairs if any of the following conditions apply to me:\n\nCardiovascular Issues Circulatory Issues Diabetes Osteoporosis Malignant Tumors Sensory Impairment\nPregnancy or Suspected Pregnancy Having Recently Given Birth\nAcute Gastrointestinal Issues Serious Skin Conditions\nJoint Dysfunctions, including Rheumatism, Hammer Toe, Gout Thecitis or Suspected Thecitis\nHigh Fever\nSpinal Abnormalities Scoliosis\nAcute Neck Sprain (Whip Lash) Implants\nPacemakers \u002F Defibrillators\n\nRIGHT TO REFUSE SERVICE\nI acknowledge that the Spa reserves the right to refuse service to anyone for any reason(s) that does not violate Federal or State laws. I acknowledge that the Spa will refuse service for: refusal or failure to pay for services, treatments, or alcohol; being under the influence of alcohol, drugs, or any other intoxicating substance; acting in a disorderly fashion as to disturb the peace of other guests; not acting in compliance with state liquor laws; being unable to properly supervise children at all times; seeking to use the Spa for an unlawful purpose; seeking to bring a firearm into the Spa; seeking to bring into the Spa any drugs, illegal, or illicit substances; destroying, damaging, defacing, or threatening to harm the Spa property or guests; refusing to abide by the reasonable standards or policies established by the Spa.\nDAMAGE AND\u002FOR THEFT OF PROPERTY\nI understand and agree that the Spa is not responsible for personal property that is left, lost, stolen, or damaged while in, on, or about the premises.\nI also acknowledge that I am liable for any damage that I cause to the premises or property, whether by deliberate, negligent, or reckless act. I acknowledge that the Spa is not responsible for any damage to my property while participating in any activity, service, or treatment at the Spa. I acknowledge that the Spa reserves the right to retain my credit card and\u002For debit card details as presented during booking and to charge the credit \u002Fdebit card such amounts as it shall in its sole discretion deem necessary to compensate or make whole the cost or expenses incurred or suffered by the Spa. I acknowledge that should this damage come to light after I have departed, the Spa reserves the right and I hereby authorize the Spa to charge my credit or debit card for any damage incurred, including and without limitation, for all property damage, missing or damaged items, smoking fee, and cleaning fee.\nI agree to be charged the following amounts for the theft of the following items from the Spa, whether taken intentionally or unintentionally:\n\nRobe: $40\nSlippers: $20\nTumbler: $20\nCosmetic Products: Retail Price + 20%\n\nI HAVE CAREFULLY READ THE ABOVE SPA POLICIES AND VOLUNTARILY AGREE TO ALL TERMS LISTED ABOVE.","type":"control_text"},{"name":"spaPolicies","qid":"21","text":"SPA POLICIES","type":"control_head"},null,null,{"description":"","name":"signature","qid":"24","subLabel":"","text":"Signature ","type":"control_signature"},{"description":"","name":"email","qid":"25","subLabel":"","text":"Email","type":"control_email"},null,null,null,null,null,null,{"name":"pageBreak","qid":"32","text":"Page Break","type":"control_pagebreak"},{"name":"releaseamp33","qid":"33","text":"RELEASE & WAIVER OF LIABILITY AND ASSUMPTION OF RISK","type":"control_head"},{"name":"dateamp","qid":"34","text":"Date & Time","type":"control_widget"},{"description":"","name":"zipCode","qid":"35","subLabel":"","text":"Zip Code","type":"control_textbox"},null,null,{"description":"","name":"birthday","qid":"38","text":"Birthday","type":"control_datetime"},{"name":"pageBreak39","qid":"39","text":"Page Break","type":"control_pagebreak"},{"name":"dateamp40","qid":"40","text":"Date & Time","type":"control_widget"},null,null,null,null,null,null,null,null,null,{"description":"","name":"checkBelow","qid":"50","text":"Check below to indicate that you have read and agree with The Beer Spa's terms & conditions and privacy policy.","type":"control_checkbox"},null,null,{"name":"input53","qid":"53","text":"Click here to read The Beer Spa's terms & conditions and privacy policy. 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  • PERSONAL INFORMATION

  • Click here to read The Beer Spa's terms & conditions and privacy policy.

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