Disclaimer MANA PHYSIQUES Massage Waiver Terms and Conditions
All Participants MUST BE CLEAN AND DEODORIZED BEFORE TREATMENT For hygiene clinic purposes
I have completed this form to the best of my knowledge and will inform the therapist of any change of health.
I acknowledge that it is a condition of participating in massage therapy treatment that I do so at my own risk.
I accept all terms and conditions risks and hereby indemnify and release the therapist and, their agents and employees, member’s
sponsor’s promoters and any persons directly or indirectly associated with the therapist or Mana Physiques Massage Australia against all liability (including liability for their negligence) Claims , demands, and proceeding out of or connected with my participation in massage therapy treatment .
I understand that my massage therapist cannot diagnose illness, disease, or any other medical, physical, emotional, disorder nor perform any spinal manipulations. I am responsible for consulting qualified physician for any alignments that I have.
I Understand and accept that If I have Chinese cupping massage that it will leave an amount of severe bruising that can take up to 5 days to heal and that this has been clearly explained to me.
I understand and accept that Chinese Cupping Massage can be an intense and painfully deep form of massage this has been clearly explained
I Understand and accept that If I have hijama wet cupping massage that it will leave an amount of light non scaring lacerations that can take up to 5 days to heal and that this has been clearly explained to me.
I understand and accept that Hot stone therapy is with the use of heated stones and that I have been explained this is a pain free massage.
I understand that massage therapy is a therapeutic health Aid and is non-sexual
I understand that my massage may be treatment can be terminated under the sexual harassment laws Source: Preventing Sexual Harassment (BNA Communications, Inc.) SDC IP .73 1992 manual
I understand that if the massage therapist starts late that he /or she will make that time up to me at the end of my session or adjust my fees accordingly.
I understand that if I arrive late that My massage will end at the original time scheduled time so that the client following me is not penalized.
I certify that I am 18 years or older and have read this document and fully understand it. Or parent or guardian of the participant (a) I agree to the above for myself and on behalf of the participant and (b) I indemnify and will keep Indemnified any person or body associated with the conduct of the treatment on the terms referred to.