I authorize this massage spa clinic/center to perform the treatment or necessary procedure for my child.
I authorize the use of lotion, oil, and ointments to my body.
I acknowledge that I have consulted a physician before undergoing this massage treatment. I understand that I should consult my doctor before the procedure.
I understand that this is an alternative treatment and if there are any medical concerns, I need to talk to my physician.
I acknowledge that this massage therapy has no sexual intent and touching the therapist is strictly prohibited.
I release this massage spa clinic/center for any responsibility in case of an accident, illness, or injury.
I acknowledge that all information I provided int his form is true and accurate.