Forms | Float Therapy in Alexandria, VA | Synergy Float Center


Release of Liability and Waiver

Sign the Waiver

Please note: this form may only be filled out by a legal adult. If the person who wishes to float is a minor, the form below must be filled out by the person’s parent/guardian. 

Donation Request Form

Fill Out the Form

Thank you for your interest in partnering with Synergy Float Center. To be sure we act in the best interest of both your organization and ours, we ask that you please complete this application form. This ensures the potential partnership is a good fit for both of us and simplifies the planning process should we choose to proceed. We value the organizations that keep our community strong and we are delighted to review your request. Please submit your request at least 30 days prior to the date of your event.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • :
  • :
  • Leave blank if there is no deadline.
    Date Format: MM slash DD slash YYYY
  • Leave blank if there is no deadline.
  • While we are very appreciative of your interest, please note that submitting this application for consideration by Synergy Float Center does not guarantee a donation. We will thoughtfully review your request and notify you if we are able to contribute to your organization’s event. Thank you!

  • If different than the contact person noted above.
  • This field is for validation purposes and should be left unchanged.

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