Please complete this covid safe form before your retreat.
Please note; do not use auto fill when completing this waiver or the form will not submit. Thank you.
Your details are only kept on file for the purposes of Covid-19 compliance, and will not be used for any other purpose.
Please answer each section, and tick the client agreement before submitting the form. Thank you.
covid consent
I understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive massage and bodywork from the Massoga® practitioners.
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 the Massoga® practitioners of any changes in my health status.
terms & conditions
By attending this retreat 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.