Client Intake, Waiver & Membership Agreement

Welcome to Black River Cold Plunge. Before participating in cold plunge, sauna, hot tub, contrast therapy, or recovery services, all guests and members must complete this intake, safety acknowledgment, and liability agreement.

Step 1 of 1010% Complete

Section 1 — Client Information

Full Legal Name *

Date of Birth *

Phone Number *

Email Address *

Home Address *

Emergency Contact Name *

Emergency Contact Phone *