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Feel This Free Liability Waiver

First Name

Last Name

Email

Date of Birth

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Please specify anything we should know about

Please Check off all Sections Required

I give my permission to receive massage therapy.

I understand that therapeutic massage is not a substitute for traditional medical treatment or medications

I have clearance from my physician to receive massage therapy.

I understand that the massage therapist does not diagnose illnesses or injuries

I understand the risks associated with massage therapy include, but are not limited to: • Superficial bruising • Short-term muscle soreness • Exacerbation of undiscovered injury

I therefore release the company and the individual massage therapist from all liability concerning these injuries that may occur during the massage session.

I understand the importance of informing my massage therapist of all medical conditions and medications I am taking, and to let the massage therapist know about any changes to these. I understand that there may be additional risks based on my physical condition

I understand that it is my responsibility to inform my massage therapist of any discomfort I may feel during the massage session so he/she may adjust accordingly

I understand that I or the massage therapist may terminate the session at any time.

I agree to the terms & conditionsView terms of use

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Feel This Free Liability Waiver

Please Download and Fill Out the Appropriate Forms Below.

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