Phone

9494848323

Email

Zak@vitalitymassageco.com

Opening Hours

Sunday-Saturday 9AM-9PM

Forms

CLIENT DETAILS

Please tick all that apply

EMERGENCY CONTACT INFORMATION

Please add a contact phone number and email address

MEDICAL DETAILS

Please detail your current exercise schedule
Arm, leg, neck, etc.

FINAL STEPS

I, the undersigned, hereby voluntarily and willingly agree to the following:

1. Assumption of Risk:
I understand and acknowledge that participation in massage therapy provided by Vitality Massage Co. carries certain inherent risks. These risks include, but are not limited to, physical injury, discomfort, and adverse reactions to massage techniques or products used during the session. I voluntarily assume full responsibility for any risks of injury, loss, or damage that may arise from my participation in massage therapy sessions.
2. Medical Conditions:
I have disclosed all known medical conditions, allergies, injuries, and medications to the massage therapist. I understand that it is my responsibility to inform the therapist of any changes in my medical condition. I acknowledge that failure to disclose relevant information may result in increased risk during the massage session.
3. Release of Liability:
In consideration of being permitted to participate in massage therapy sessions at Vitality Massage Co., I hereby release, waive, discharge, and covenant not to sue Vitality Massage Co., its owners, employees, agents, and contractors from any and all liability, claims, demands, actions, and causes of action arising out of or related to any loss, damage, or injury that may be sustained by me or any property belonging to me, whether caused by the negligence of Vitality Massage Co. or otherwise.
4. Indemnification:
I agree to indemnify and hold harmless Vitality Massage Co., its owners, employees, agents, and contractors from any loss, liability, damage, or costs, including court costs and attorney’s fees, that may incur due to my participation in massage therapy sessions, whether caused by the negligence of Vitality Massage Co. or otherwise.
5. Consent to Treatment:
I give my informed consent to receive massage therapy services from the massage therapists at Vitality Massage Co. I understand that massage therapy is not a substitute for medical treatment or diagnosis and that it is recommended that I consult a medical professional for any health concerns I may have.
6. Confidentiality:
I acknowledge that all personal information and health-related information provided to Vitality Massage Co. will be kept confidential and will only be disclosed with my written consent or as required by law.

By signing below, I acknowledge that I have read, understood, and agree to the terms and conditions outlined in this Release of Liability Form. I affirm that I am of legal age and fully competent to sign this agreement.
Clear Signature

Client Information

Massage Consent

e.g. basic, deep tissue

Client Authorizations

Clear Signature
I, the undersigned, hereby voluntarily and willingly agree to the following:

1. Assumption of Risk:
I understand and acknowledge that participation in massage therapy provided by Vitality Massage Co. carries certain inherent risks. These risks include, but are not limited to, physical injury, discomfort, and adverse reactions to massage techniques or products used during the session. I voluntarily assume full responsibility for any risks of injury, loss, or damage that may arise from my participation in massage therapy sessions.
2. Medical Conditions:
I have disclosed all known medical conditions, allergies, injuries, and medications to the massage therapist. I understand that it is my responsibility to inform the therapist of any changes in my medical condition. I acknowledge that failure to disclose relevant information may result in increased risk during the massage session.
3. Release of Liability:
In consideration of being permitted to participate in massage therapy sessions at Vitality Massage Co., I hereby release, waive, discharge, and covenant not to sue Vitality Massage Co., its owners, employees, agents, and contractors from any and all liability, claims, demands, actions, and causes of action arising out of or related to any loss, damage, or injury that may be sustained by me or any property belonging to me, whether caused by the negligence of Vitality Massage Co. or otherwise.
4. Indemnification:
I agree to indemnify and hold harmless Vitality Massage Co., its owners, employees, agents, and contractors from any loss, liability, damage, or costs, including court costs and attorney’s fees, that may incur due to my participation in massage therapy sessions, whether caused by the negligence of Vitality Massage Co. or otherwise.
5. Consent to Treatment:
I give my informed consent to receive massage therapy services from the massage therapists at Vitality Massage Co. I understand that massage therapy is not a substitute for medical treatment or diagnosis and that it is recommended that I consult a medical professional for any health concerns I may have.
6. Confidentiality:
I acknowledge that all personal information and health-related information provided to Vitality Massage Co. will be kept confidential and will only be disclosed with my written consent or as required by law.

By signing below, I acknowledge that I have read, understood, and agree to the terms and conditions outlined in this Release of Liability Form. I affirm that I am of legal age and fully competent to sign this agreement.