Retreat Guest Form
Retreat Location

digital free

Would you like to go digital free for the weekend?

*Your devices will be locked away in the retreat office. You are welcome to access your phone for 30mins a day to check in with loved ones.

Health History

List any known food allergies

Nervous System

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

Any other medical condition(s) not listed:

Is there anything else you wish to share with us?

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 retreat with Massoga® Massage Yoga I agree its owners, teachers and any person employed by Massoga® Massage Yoga are 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.