These protocols are adopted for your massage session safety! 

• If you are not feeling well, fever, sore throat, shortness of breath, lost of taste, etc.. please reschedule your session, our cancelation policy during this time is no charge.
• REQUIRED! Please sign the waiver below and bring it to your session.
• For new clients face mask are required, for our regular clients it is optional if you are fully vaccinated and have both boosters. 
• Massage room will be cleaned/sanitized before each session.
•   Hand Sanitizer gel (provided) or hand washing soap and hand towel will be required for both the beginning and after the  massage session.

WAIVER

Please copy to your word processor and print, bring to your appointment.

Information & Liability Waiver

Health Information–COVID-19 and it's variants 
 
Client Name: ______________________________________              Date: ____________________________________________              
 
 1. Have you had a fever in the last 24 hours of 100°F or above? Yes ☐ No ☐ 
 
2. Do you now, or have you recently had, any respiratory or flu symptoms, sore throat, or shortness of breath? Yes ☐ No ☐ 
 
3. Have you been in contact with anyone in the last 10 days who has been diagnosed with COVID or its variant-type symptoms? Yes ☐ No ☐ 
 
Consent for Treatment 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. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner. 
 
Client Signature: _________________________________________________ Date: ____________ 
Parent or Guardian Signature (in case of a minor): _______________________ Date: ____________