top of page

Health declaration & Waiver


Please fill out the following form.

Date of birth
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness, injury OR Alcohol / Drug effects.
No
Yes
Do you have a heart condition or blood pressure issue?
Yes
No
Do you have a medical condition that we might need to know about either physical of mental
yes
no
Photography/Media Release: I grant permission to WELLGOOD to use photographs, video recordings, or other media taken during the Event for promotional purposes, including on social media, websites, and marketing materials.
yes
no
You confirm you will read our RULES and Sauna Guide before first session
yes
no
Confirm You understand you need to be well hydrated before during and after the sauna ?
yes

Waiver of Liability and Hold Harmless Agreement

 

This Waiver of Liability and Hold Harmless Agreement is entered into by and between the undersigned (hereinafter referred to as "Participant") and [NORTHUMBRIAN SAUNA] (hereinafter referred to as "Provider") concerning the use of the sauna tent provided by Provider.

 

1. Acknowledgment and Assumption of Risk

 

The Participant acknowledges and understands that:

- The use of the sauna tent involves inherent risks, including but not limited to dehydration, heat exhaustion, heat stroke, burns, and other health risks.

- The Participant is voluntarily using the sauna tent with knowledge of the dangers involved.

- The Participant assumes full responsibility for any risks, injuries, or damages known or unknown which might occur as a result of using the sauna tent.

 

2. Release and Waiver

 

In consideration of being allowed to use the sauna tent, the Participant, on behalf of themselves, their heirs, personal representatives, and assigns, hereby releases, waives, discharges, and covenants not to sue the Provider, its owners, officers, employees, and agents from liability from any and all claims including negligence of the Provider resulting in personal injury, accidents, or illnesses (including death) and property loss arising from the use of the sauna tent.

 

3. Indemnification and Hold Harmless

 

The Participant agrees to indemnify and hold the Provider harmless from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees, brought as a result of the Participant’s involvement in the use of the sauna tent and to reimburse the Provider for any such expenses incurred.

 

4. Medical Disclaimer

 

The Participant acknowledges and agrees that:

- They have been advised to consult with a physician prior to using the sauna tent.

- They are in good health and do not have any condition that could be adversely affected by the use of the sauna tent.

- They will discontinue use if they experience any pain or discomfort and will seek medical attention if necessary.

 

5. Severability

 

The Participant further expressly agrees that the foregoing waiver and assumption of risks is intended to be as broad and inclusive as permitted by the law of the state in which it is used and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

 

6. Governing Law

 

This Agreement shall be governed by and construed in accordance with the laws of the state of [Your State], without giving effect to its conflict of laws rules.

 

I HAVE READ THIS RELEASE F LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

WELLGOOD EVENT WAIVER 19th OCT 2024

Acknowledgement of Risks: I, the undersigned, fully understand that participation in the activities and services offered during the WELLGOOD (the "Event") may involve physical, mental, and emotional activities, including but not limited to yoga, meditation, physical exercises, breathwork, bodywork, sound bath, sauna and cold water dip.


I acknowledge that these activities carry potential risks, including but not limited to injury, illness, or other health-related risks. I agree that my participation is voluntary and that I assume all risks, both known and unknown, related to my participation in this Event.


Medical Conditions: I affirm that I am in good physical condition and do not suffer from any disability, illness, or condition that may prevent or limit my participation in the activities of the Event. If I have any existing health conditions, I have consulted my doctor, and I am cleared to participate.

I agree to inform the organisers of any health condition that may affect my ability to participate in the Event.


Waiver and Release of Liability: In consideration of being allowed to participate in the Event, I hereby release, waive, and discharge WELLGOOD, its owners, staff, agents, and any affiliated entities from any and all liability, claims, demands, or causes of action that may arise from my participation in the Event, including but not limited to personal injury, illness, or property damage.

I understand and acknowledge that this release applies to any claims arising out of the negligence of the wellness event, its staff, or any other participant. Assumption of Risk: I understand that activities at the Event may include physical exertion, and I accept responsibility for any injury or harm that may occur as a result of my participation.

I understand that the wellness event and its staff cannot be held responsible for personal injuries, health conditions, or accidents that may arise from my participation. at the Event may involve sharing personal or confidential information in a group setting. I agree to maintain the confidentiality of other participants and respect their privacy. Agreement to Terms: By signing below, I acknowledge that I have read and understood this Waiver and Release of Liability and agree to be bound by its terms. I understand that this is a legal and binding document and that I am waiving certain rights by signing it.


Confidentiality Agreement:

I understand that some activities at the Event may involve sharing personal or confidential information in a group setting. I agree to maintain the confidentiality of other participants and respect their privacy.


Agreement to Terms:

By signing below, I acknowledge that I have read and understood this Waiver and Release of Liability and agree to be bound by its terms. I understand that this is a legal and binding document and that I am waiving certain rights by signing it. 

Date
bottom of page