top of page
R_Circle_Full_Text_Mint.png
Health Form

Please note; do not use auto fill when completing this waiver, and ensure you tick the type of workshop, or the form will not submit. Thank you.

Please select one

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.

About

Yoga Retreats

  • Instagram
  • Facebook
  • LinkedIn

We acknowledge the traditional owners of the land in all the regions of the beautiful countries we travel to and experience on retreat. The custodians of Kulin Nation, in the regions of the Woiworung, Boonwurrung and Wathaurong People. The custodians of the Yunbenun of the Wulgurukaba People. We acknowledge their Ancestors past, present and future who nurtured and cared for Country for tens of thousands of years.

© 2024 Massoga® Massage Yoga | Website by Insight Culture

bottom of page