Intake Waiver

All clients are required to complete the Saltville Grotto Intake & Waiver form prior to their scheduled appointments.

This form includes all services. A copy will be sent to us once completed.

Please complete this form in its entirety prior to visiting Saltville Grotto.

Saltville Grotto & Spa Intake Form & Waiver

All clients are required to complete this form prior to receiving services at Saltville Grotto.

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Medical History

Are you currently under medical supervision?
Do you see a chiropractor?
Are you currently taking any medications?
Please check all medical condition(s) below that apply:
Medical History Agreement(Required)

Salt Cave (Halotherapy) Guidelines & Acknowledgement

Halotherapy Agreement(Required)

Far Infrared Sauna Guidelines & Acknowledgement

Have you used a Far Infrared Sauna Before?
Have you consulted your doctor regarding your ability to use the Far Infrared Sauna?
Do you have difficulty breaking a sweat?
Far Infrared Sauna Agreement(Required)

Yoga & Movement Guidelines & Acknowledgement

Yoga & Movement Agreement(Required)

Zero Gravity Recliner / Zen Meditation Experience Guidelines & Acknowledgement

By elevating your legs over the level of your heart, proper circulation is increased, helping to reduce swelling as well as minimizing stress on your heart. The strain of gravity on your vertebrae is also greatly reduced.
Zero Gravity Agreement(Required)

Ionic Foot Detox Guidelines & Acknowledgement

Ionic Foot Detox Therapy Release The Ionic DetoxTherapy takes advantage of the foot's “healing” points by stimulating them through immersing the feet in water that is ionized with pink himalayan salt and a weak electrical current. This creates a balance of negative and positive ions that “neutralize'' charged ions in the body. Through this the neutralized particles and toxins are pulled out of the body. This treatment is not recommended for those who have been medically diagnosed with the following conditions: ★ Women who are pregnant or nursing. ★ Anyone with a weak heart. ★ Anyone with open foot wounds, broken or irritated skin on the feet. ★ Anyone with low blood sugar or diabetes should consult with a doctor before having the Ionic Cleanse Therapy performed as it may lower blood sugar levels. ★ Anyone with a pacemaker or who takes heart-regulating medicines. ★ Anyone who has had an organ transplant who is taking medication to prevent rejection ★ Anyone taking any type of medication which if purged or excreted would incapacitate them mentally or physically.
Ionic Foot Detox Agreement(Required)

Float Pod Therapy Guidelines & Acknowledgement

Float therapy provides a deep state of relaxation that stimulates blood flow through all of your body’s tissues and releases natural endorphins. To ensure you have a safe and comfortable floating experience, please read and acknowledge the following guidelines. This consent form applies now to your first float and all floats after this one.
Float Therapy Consent(Required)
Illness & Disease:(Required)
Hair Treatments (Keratin, hair dye, etc):(Required)
Pre-existing Conditions:(Required)
Pregnancy:(Required)
Medications/Drug Warning:(Required)
Blood Pressure:(Required)
Motion Sickness:(Required)
Pod contents:(Required)
Waxing/Shaving:(Required)
Self-tanning:(Required)
Capability:(Required)
Slippery when wet:(Required)
Shhh:(Required)
Shhh:(Required)
Contamination of the float tank:(Required)
I know what my responsibilities are:(Required)

Massage Therapy Guidelines & Acknowledgement

Please inform your therapist if there are any specific areas you would like them to concentrate on during your session.
Have you had a professional massage before?
Do you have any difficulty lying on your front, back, or side?
Do you have sensitive skin?
Do you sit for long hours at a workstation, computer, or driving?
Do you perform any repetitive movements in your work, sports, or hobby?
Do you experience stress in your work, family, or other aspects of your life?
Please read and acknowledge the following statements:(Required)
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(Required)
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Reiki & Energy Therapy Release

I acknowledge that I have stated all known physical conditions and medications and will keep the energy practitioner updated on any changes.
Reiki & Energy Therapy Consent(Required)

Waiver and Release of Liability

I knowingly, voluntarily, and expressly waive any claim I may have against Saltville Grotto, its instructors and staff, and its owners for any injury, death, or damages that I may sustain as a result of being in the Saltville Grotto facility or as a result of participating in a class, workshop, or event, including loss that may be caused by the negligence of the released party. I release and discharge Saltville Grotto, its directors, owners, staff, and its instructors from any and all liability, claim, demand, or action that may have related to the loss, theft, or damage of any of my personal property while at the Saltville Grotto facility. Saltville Grotto & Spa, and its representatives, do not provide medical advice or treatment. Please consult your health care provider for medical advice. The information provided is for general information purposes only and does not address individual circumstances or medical conditions. Do not attempt to self-treat any disease with any of our services. This document, signed once, and the agreements made herein, and the foregoing waiver and release of liability shall apply to each and every use, now and hereafter, I make use of This consent form applies now to your first appointment and all subsequent appointments after this one.(Required)

Cancellation Policy

Due to limited availability for all services and events, please note, if you cancel your registration more than 24 hours prior to the event start time, your registration(s) will be canceled and the amount of the ticket or service may be applied to your account. Registrations canceled less than 24 hours prior to the event start time will be canceled, however no refunds will be given. Appointments are subject to at least 50% charge if canceled less than 24 hours prior to the scheduled appointment. Events and group appointments start at their scheduled times. Traffic can be questionable in Snellville so please plan to arrive early to ensure entry. If you arrive after the start of an event or group session, entry will not be granted and no refunds will be given.

Minor’s Policy (Participants under the age of 18)

Floats, sauna, ionic detox and body massage services are not available for children under the age of 16. A parent or guardian must complete a waiver on behalf of any child under the age of 18. Children under the age of 8 are not allowed in Public Salt Cave Sessions. For children under the age of 8, the family must reserve a Private Group Salt Cave Session.
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Signature for Consent(Required)
By entering my name above, I acknowledge that I have read through the entire agreement and consent to its content. I fully understand the above disclaimer and use the facilities at Saltville Grotto at my own risk.
Gift Cards