• Harvest Day Event Booking Form

    Please select an available time and fill out the form below. Should you need to amend your booking please email juniper.bodytherapy@gmail.com or WhatsApp Juniper at 07495 326398
    Harvest Day Event Booking Form
  • Make an Appointment*
  • choose 1 option for your 30 min treatment*
  • Personal Details

  • Today's Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Health & Wellness information

  • Have you received massage therapy or bodywork before?*
  • Have you had any serious or chronic illness, operations, or traumatic accidents?*
  • Are you on any medication?*
  • Do you have any allergies?*
  • Do you exercise?*
  • Do you smoke or vape?*
  • Do you drink alcohol?*
  • Contraindications & Informed Consent

  • Contraindications that restrict treatment - treatment will be modified to avoid areas or will be rescheduled once resolved. (select if/where appropriate)

  • Contraindications requiring medical permission - in circumstances where medical permission cannot be obtained clients must give their informed consent in writing prior to treatment. (select if/where appropriate)

  • Informed Consent 

  • To the best of my knowledge, the information I have given is true, and I have not withheld any information concerning my health. 

    In consideration of any contraindications indicated above, I agree to provide proof of medical permission to receive the complimentary treatments from the therapist. If medical permission cannot be obtained, I acknowledge that I have read and agreed to the details outlined here and my signature below is proof of my informed consent.   

    I understand that the therapist does not diagnose illness, disease, or any other physical or mental condition. I understand that this treatment is not a substitute for medical examination, diagnoses or treatment. While I recognise that all due care will be taken by the the therapist, I am fully aware that my participation in the treatment is voluntary.

    I have completed this health form to the best of my knowledge, I understand that massage is a health aid and does not take the place of any medical care. Any information exchanged during a treatment session is confidential and is only used to provide you with the best care and service.

     

  • Complete Booking & Payment

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    Cancellation Policy:

    The following policy applies to all bookings unless otherwise agreed with the therapist in advance of the scheduled treatment. By booking in with the therapist you agree to following policy:

    No refunds for event bookings. In the event you are unable to attend your booking fee may be applied to a future service with Juniper Body Therapy. Please contact juniper.bodytherapy@gmail.com or WhatsApp Juniper at 07495 326398. 

     

     

  • My Products*

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    Harvest Day Event - 30 min massage Product Image
    Harvest Day Event - 30 min massage


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