top of page

New Spa Day Client Intake, Privacy Policy & Waiver Form

This form must be filled our prior to receiving services. All follow-up visits will require a different form.


Cloud9 Spa agrees to fully respect client privacy, needs and preferences while receiving care. All clients will be treated with fairness, compassion and care regardless of gender, political affiliation, or other lifestyle choice, within the legal limits imposed upon by certifying boards such as the NCBTMB or National Certification Board for Therapeutic Massage and Bodywork. All records will be maintained in a lawful manner. Cloud9 Spa will never discriminate against a client for any reason. Cloud9 Spa will respect clients wishes for care to the best of the therapists abilities. Cloud9 Spa will maintain a lawful business with all necessary policies, procedures, licenses, and certifications in place.

General Information

Birthday
Month
Day
Year

Privacy Policy & Waiver

Please read and agree to the following, and check the box below:


  • I agree that I am not under the influence of drugs and alcohol, and am of good mental health. I also agree that I am not currently sick with infectious rashes or illnesses, nor am I presenting any symptoms. I will let Cloud9 Spa of all health-related issues or changes (including but not limited to: allergies, pregnancy, broken bones, cancer, hernias, current medicines, recent vaccines, surgeries, etc). Failure to update us about your health may result in termination of services as there are legal regulations we follow to ensure the safety of all of our clients. If Cloud9 Spa refuses a session and refers out, this is not the same as a diagnosis as Cloud9 Spa cannot diagnose medical conditions, nor is this discrimination of said client. Please seek a physician if you have conditions preventing you from using our services. If you have any allergies, make sure you read our ingredients list or ask us.


  • I agree to not purposefully go over my appointment time, to not partake in extra activities while on the premises, to not touch or change any equipment, decorations, or settings at Cloud9 Spa. I also agree to respect the policies, condition of premises, dispose of all garbage in the trash bins, and not destroy anything within the premises. Please also note that unless prior authorization or unique circumstances (such as couples session, or minor and parent) only 1 client is allowed per room, per session. Absolutely no sexual activity is allowed on the premises.


  • I understand the Parental Consent policy applies to only the following services: Massage Therapy, Couples Session, Salt Therapy, and Sound Therapy unless approved by our staff. All other services are not to be used by minors. Children ages 12 and older may sit in the lobby if they are able to sit and occupy themselves quietly so as to not disrupt other clients' sessions, the spa staff or the spa premises. If a client chooses to bring a younger child, cancellation and rescheduling of that appointment will immediately take place. This policy is only exempt for children who are scheduled to receive care.


  • Pets are not allowed inside Cloud9 Spa. Service animals are allowed by law and will be respected and welcomed by spa staff. Due to the nature of some of our other client's potential allergies, it is preferable that service animal owners make other accommodations. However, Cloud9 Spa will never turn away, disrespect, or question a client with a service animal and is prepared to clean, sanitize, and filter the air within all spaces in which service animals visit. However, it is necessary to review the current health conditions of said client as some conditions are contraindications to some or all of our spa services.


  • When in your treatment room, please ensure your phone is set to “silence” or “off”, and that alarms are set to “off” to ensure our clients (and you!) receive the best care possible. Conversing during your session is perfectly fine, but please remember other clients may be receiving care as well and we would like to ensure the quietest environment possible for all clients, so we ask to keep the volume to a minimum.


  • I understand that I must respect the staff. We have a zero tolerance policy for sexual misconduct and will terminate the client/spa relationship immediately as well as seek legal assistance upon any sexual, verbal or physical misconduct.


  • Cloud9 Spa is not liable for injuries to clients, theft or damages to personal items which are not at the fault of Cloud9 Spa. Any injuries, theft or damages which are at the fault of CLoud9 Spa will be handled accordingly.


  • I agree to the cancellation policy. Clients who cancel their services on the same-day as their service may incur a $25 fee on their account, which is to be paid in full before receiving more services. Clients who do not show up and do not call, email or notify us about their absense will be changed for the full session of their service. Cloud9 Spa does not issue a refund for services that are not used by clients, unless an error was made by our staff.

General Medical Information

Information for today's visit

  • Massage Therapy:

  • Float Therapy:

  • Red Light Therapy

  • Infrared Sauna, Salt Therapy & Sound Therapy

Signature & Date

Date
Month
Day
Year

Location & Hours

S        CLOSED

M       CLOSED

T        CLOSED

W      9a-7p

T        9a-7p

F        9a-7p

S        9a-7p

Please note: Spa Reservations are available 7 days a week, but with an added fee for "Closed" days..

  • Grey Facebook Icon
n.png

​© 2023 by Cloud9 Spa. Powered and secured by Wix

© Copyright

111 Court Street

Gatesville, NC 27938

252-377-0691

ALL PARKING IS FREE.

WE HAVE A PARKING LOT AVAILABLE NEXT TO THE BUILDING. CLIENTS AND VISITORS MAY ALSO PARK ON THE STREET IN AVAILABLE PARKING SPOTS, OR IN THE PARKING LOT ACROSS THE STREET AT THE CORNER OF COURT ST AND MAIN ST.

bottom of page