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Your Name

Home Phone #

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Spa Party Date

Spa Party Time

Waiver Form:

Disclaimer Clause: Common Scents Body Care (Mobile Spa) is not responsible for any loss or damage suffered by any person resulting from or related to the involvement in any of the services offered by Common Scents Body Care.

Release and Indemnity:

I acknowledge and agree to the following:

1. that I am aware of the risks and hazards in participating in the services provided by Common Scents Body Care Mobile Spa and I acknowledge that my participation is entirely voluntary. I understand the treatments involve the use of heated water, heated paraffin, heated towels, heating pads, oils, lotions, essential oils, tools for manicures, pedicures, hair and makeup.

2. to assume all risks involved in my participation in the services provided by Common Scents Body Care.

3. to release and forever discharge Common Scents Body Care, its owners, its directors, employees and contractors from any claims, losses, damages, actions or causes of action arising out of any loss, injury, or damage to my person or property arising from my involvement with the services provided by Common Scents Body Care.

This release shall be binding upon myself signing it on behalf of everyone in my spa party.

Party Guests

Use this space if you have
more than ten guests ...
list the remaining names
in the one box to the right.

I acknowledge that I am over 19 years of age and I have read this Waiver Form and I agree to be bound by this Release and Indemnity, I accept the above Disclaimer Clause by checking this form.

Waiver of liability: I acknowledge and understand that the services and products used are to promote and maintain health and wellness. The techniques used are not intended to replace medical treatments.

I have read this document and understand all the guidelines of hosting a spa party. I agree and comply with all the guidelines.

Please notify our professionals before your treatment:

Do you have any past injuries that affects your health?

Yes No

Do you have any recent injuries that I need to know?

Yes No

Do you have any allergies?

Yes No

Are you pregnant or have any other medical conditions we should know of?

Yes No

If you answered yes to any of the
4 questions above, please elaborate
in the box to the right.

I have read and agree to the Waiver, Release, and Indemnity

Yes No

Date Agreed to:

Hostess Name