Massoga® Waiver
Immersion Type

Health History

List any known allergies

Musculoskeletal
Nervous System
Respiratory
Circulatory
Reproductive
Skin
Digestive
Psychological
Others

Any other medical condition(s) not listed:

Please explain any of the conditions that you have marked above:

client agreement

It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there is no implied or stated guarantee of success of effectiveness of individual techniques or series of appointments. I acknowledge that massage therapy is not a substitute for medical care, medical examination or diagnosis. I have stated all medical conditions that I am aware of and will inform my practitioner of any changes in my health status. 

terms & conditions
By purchasing this workshop/training with Massoga® Massage Yoga you agree its owners, teachers and any person employed by Massoga® Massage Yoga is in no way responsible for the safekeeping of my personal belongings. I understand that classes may be physically strenuous, I will be adjusted and massaged, and I voluntarily participate in this with full knowledge that there is risk of personal injury, property loss or death. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against Massoga
® Massage Yoga or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.

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