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Sauna Waiver

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2026 Sauna Waiver

Complete this form if:

  1. You are not a member and you have booked a sauna session.

  2. You are not a member and you are redeeming a sauna voucher win. 

2026 Infrared Sauna Intake & Release Form

Personal Information

Birthday
Month
Day
Year
Multi-line address

Health Information

Current Health Status
Good
Fair
Poor
Medical History (Check any that apply and provide details if necessary)
Allergies (Include medication allergies)
No known allergies
Yes*

Sauna Use

Previous experience with infrared sauna
None
Some
Frequent
Primary reason for using the infrared sauna
Frequency of intended sauna use
One-time
Weekly
Monthly

CONSENT AND AGREEMENT

Acknowledgment of Risks and Waiver of Liability

Health problems that are contraindicated for Infrared Sauna Use:

  • Pregnancy

  • Cardiovascular Issues (Like Heart Failure, Hypertension)

  • Fever/Infection

  • Acute Joint Injuries

  • Bleeding Disorders

  • Impaired Sweating (MS, Diabetes With Neuropathy)

  • Being Under the Influence of Alcohol/Drugs

    **If you have any of the above health related problems, you are not a good candidate for infrared sauna use and will need to be cleared by a medical professional before being able to participate.

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Date and time
Month
Day
Year
Time
HoursMinutes

Privacy Acknowledgment

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Date and time
Month
Day
Year
Time
HoursMinutes

Destination Wellness

31 W Church Street

Newark, OH 43055

(740) 280-2031

lcdestinationwellness@gmail.com

www.lcsdestinationwellness.com

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