Thank you for choosing Massage Harbor,
The form below is for all new clients.
Please take a moment to read and check the following information:
Massage Client Waiver Form
PLEASE READ AND SIGN
*I understand that any information provided is for safety purposes and will be kept strictly confidential, except that such information may be used by Massage Harbor, inc. for statistical analysis or scientific purposes.
*I hereby give my consent to receive massage services and/or other bodywork or treatment (the “Services”) from Massage Harbor inc., and I acknowledge and agree that I am doing so at my own risk. My health and safety with respect to such services are my sole responsibility.
*My decision to receive Services from Massage Harbor Inc. is voluntary, and I know of, understand and assume any and all the risks associated there with.
*In exchange for receiving Services from Massage Harbor Inc., I, for myself and on behalf of my heirs, executors, administrators and personal representatives, hereby waive, release, discharge and hold harmless Massage Harbor Inc., its members, officers, employees and agents from any and all liability for any and all injuries, including death, damages or claims relating to or resulting from my receipt of the Services, now or in the future, foreseen or unforeseen. Further, I will indemnify and hold Massage Harbor Inc., its members, officers, agents and employees, harmless from and against any and all claims, rights, damages, liabilities, losses, costs and expenses (including reasonable attorneys’ fees) arising from or in connection with any injuries to other persons or damage to property caused by or attributed to me."
*I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.
*I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.
*If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort.
*I will not hold my therapist responsible for any pain or discomfort I experience during or after the session.I understand that the services offered today are not a substitute for medical care.
*I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.I affirm that I have notified my therapist of all known medical conditions and injuries.I agree to inform the therapist of any changes in my health and medical condition.
*I understand that there shall be no liability on the therapist’s part should I forget to do so.I understand that massage is entirely therapeutic and non-sexual in nature.
*By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and future relating to massage therapy and bodywork.I have received the policy statement, and have read and agree to the policies therein.
Massage Harbor is now Tranquille Spa