Signed in as:
filler@godaddy.com
Signed in as:
filler@godaddy.com
I, _______________________, hereby acknowledge that I am voluntarily receiving massage therapy services from Galore Service at the location disclosed + agreed upon when I officially booked my appointment, which was confirmed by myself + the owner.
I understand that massage therapy involves certain risks + that it is my responsibility fully to communicate any discomfort or concerns to the therapist before, during, or after the service.
I understand that the massage therapist is not a medical provider, + that massage therapy is not a substitute for medical care.
I acknowledge that it is my responsibility to consult with a physician regarding any medical conditions or concerns before receiving massage therapy.
I understand that the massage therapist will use professional draping techniques to ensure my privacy + comfort during the massage session.
I agree to communicate any discomfort or inappropriate behavior from the therapist immediately.
I understand that the massage therapist may ask questions about my medical history + current health condition(s) in order to provide safe + effective treatment. I agree to provide accurate + complete information to the best of my knowledge.
I acknowledge that I have been informed of the potential benefits + risks of massage therapy, including but not limited to soreness, bruising, + allergic reactions to oils or lotions.
I understand that I have the right to refuse any massage techniques or to end the session at any time for any reason.
I release Galore Service LLC + any associates from any liability for injuries or damages that may occur as a result of the massage therapy session, except those resulting from gross negligence or intentional misconduct.
I have read + understand the terms of this waiver, + I voluntarily agree to its contents.
Client's Signature: ___________________________ Date: ________________
Therapist's Signature: _________________________ Date: ________________
Galore Service LLC
Massage Therapist + Chiropractic Assistant
312.826.7498
I, ___________________________, hereby acknowledge that I am voluntarily seeking a massage session from Galore Service for therapeutic purposes. I understand that while massage therapy can provide relaxation + therapeutic benefits, it is important to maintain appropriate behavior throughout the session. By signing this waiver, I agree to abide by the following guidelines:
1. Respectful Conduct:
I will behave respectfully towards the massage therapist at all times during the session.
2. Communication:
I will communicate openly + honestly with the massage therapist regarding any discomfort, preferences, or concerns during the session.
3. Modesty:
I understand that I will be appropriately draped during the massage session to ensure modesty + comfort. I also understand that the removal of any or all attire is my choice completely + is no invite to act inappropriately.
4. Professional Boundaries:
I understand that the massage therapist is a professional healthcare provider, + I will refrain from making any inappropriate or suggestive comments or gestures prior to, during or after the appointment.
5. Personal Hygiene:
I will maintain good personal hygiene by being clean + odor-free prior to the session.
6. Health Disclosure:
I will inform the massage therapist of any medical conditions, injuries, or allergies that may affect the massage session.
7. Respect for Space:
I will respect the massage therapist's personal space + refrain from touching them inappropriately.
8. Safe Environment:
I understand that any behavior deemed inappropriate or unsafe by the massage therapist may result in the termination of the session immediately, + I may be asked to leave without refund.
I acknowledge that failure to adhere to these guidelines may result in the termination of the massage session, + I may be held legally responsible for any damages incurred. By signing below, I agree to abide by the terms outlined in this waiver.
Signature: _____________________________ Date: ________________________
Galore Service
1212 S MICHIGAN AVE CHICAGO, IL 60605
Copyright © 2024 Galore Service LLC - All Rights Reserved.
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