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MASSAGE CLIENT WAIVER
First Name
Last Name
DOB
Mobile Phone
Please specify any medical concerns we should know about, including if you've recently had surgery or will be pregnant at the time of the massage
Initials
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of this bodywork. I hereby assume all risks connected therewith and consent to this massage. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to the massage therapist prior to my service.
I understand this is for one massage for one guest and a couple's massage is not available. If I do not cancel my appointment at least 24 hours prior, I will be charged an additional $35 cancellation fee.
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Please fill out a separate waiver for each person
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