Consultation Form

Dear Mr/Miss/Mrs

Thank you for choosing Rejuveness Day Spa for your treatments, we are delighted to welcome you into our haven of tranquility and serenity. As discussed with you telephonically, due to the COVID-19 Pandemic and our commitment as a business to flatten the curve, our systems and procedures have changed slightly.

This form is part of our online consultation process as well as to inform you of the steps we are taking to ensure our space is fully sanitized. Please complete the form below to reduce the waiting time for your treatments when you arrive. This electronic online form helps us curve Covid 19 as we do not use any paper. All the information given in the form will be kept strictly private and will not be shared with a third party.

Acceptance

By submitting this form you are agreeing to the T's &C's of Rejuveness Day Spa and we are viewing this as your digital signature. I also accept that all the information provided is 100% accurate and agree to the following terms. Please switch your Cell phone off or on Silent during all your Treatments at Rejuveness Day Spa to enjoy Complete Relaxation and Serenity. We ask that all Services must be paid in full by the end of the Treatment. I understand that all Treatments that are done are for Beauty Purpose only and not Medical. I understand that all Treatments done, Products and Gift Vouchers bought are strictly Non-Refundable. All the treatments done at Rejuveness Day Spa is done at your own risk and that we do not take any responsibility for any damage there may be caused by any products or equipment. I understand that all treatments and services offered at Rejuveness Day Spa are not intended for sexual purposes, and that any remarks or comments will result in immediate termination of the treatment. You will then also be held responsible for the full amount of the treatment. I confirm that I am fully aware that the COVID-19 virus is highly contagious and can be carried by people that are asymptomatic. I am also aware that the virus is spread by droplets and therefore agree to wear a mask at all times whilst I am at Rejuveness Day Spa. I consent to applying sanitizer to my hands on entry to Rejuveness Day Spa and again before payment is made and any products are touched. I understand that Spa treatments by nature require close physical contact and that Spa treatments are regarded has a high risk. I therefore confirm that I am not suffering from any flu like symptoms, fever, dry cough, headaches, sore throat, shortness of breath or loss of taste. I also confirm that I have not been infected with the Corona Virus or been in contact with anyone infected with the virus in the last 21 days. I can also confirm that I have not traveled outside of SA or within SA for the last 14 days. I understand that in the case of serious illness such as Cancer, HIV, TB, Diabetes exist, certain treatments may be harmful to my health. Based on all the above information and having been advised I wish to receive treatment at Rejuveness Day Spa and I therefore waiver any and all claims that may arise from any treatments and services received by Rejuveness Day Spa and I consent to the Therapist Booked to perform my treatments.

Consultation Form

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