spa client intake form template

Professional Spa Services Client Intake and Liability Waiver

Instructions for Use

• Print this document or distribute it digitally to all new clients prior to their first scheduled appointment.
• Ensure the client initials each numbered clause to confirm they have read and understood the terms of service.
• Retain the completed, signed original in the client's secure file for a minimum of seven years or as required by local record-keeping statutes.

Parties and Definitions

This agreement is made between [Spa Business Name] ("Provider") and the undersigned individual ("Client").

Client Name: [] Date of Birth: [] Phone: [] Email: [] Emergency Contact Name & Phone: [__________]

Terms and Conditions

1. Medical Disclosure: The Client represents that they have disclosed all known medical conditions, allergies, injuries, or medications that may affect their ability to receive services. The Client agrees to update the Provider of any changes to this health profile prior to future appointments. [ ] Initial here: [__________]

2. Assumption of Risk: The Client understands that spa services, including but not limited to massage, skin treatments, and body wraps, involve physical contact and the use of products. The Client voluntarily assumes all risks associated with these services. [ ] Initial here: [__________]

3. Liability Waiver: The Client hereby releases and discharges [Spa Business Name], its owners, employees, and independent contractors from any and all claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may be sustained by the Client while on the premises or during the provision of services. [ ] Initial here: [__________]

4. Cancellation Policy: The Client acknowledges that a minimum of [__] hours' notice is required to cancel or reschedule an appointment. Failure to provide such notice will result in a cancellation fee of $[] or the forfeiture of the service deposit. [ ] Initial here: []

5. Privacy and Data: The Provider agrees to maintain the confidentiality of the Client’s personal and medical information in accordance with applicable privacy laws. Client data will not be shared with third parties without express written consent. [ ] Initial here: [__________]

Signature and Acknowledgment

By signing below, I acknowledge that I have read, understood, and voluntarily agreed to the terms set forth in this document.

Signature: __________

Printed Name: [__________]

Title: [__________]

Date: [__________]

Legal Disclaimer: This document is a general framework intended for informational purposes only and does not constitute legal advice. You must consult with qualified legal counsel in your specific jurisdiction to ensure compliance with local health regulations, consumer protection laws, and professional licensing requirements.