Dallas Stretch Four Life COVID-19 Waiver
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Dallas Stretch Four Life inc. has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Dallas Stretch Four Life inc. can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, salon staff, and other salon clients and their families.
I voluntarily seek services provided by Dallas Stretch Four Life inc. and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States of America in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Dallas Stretch Four Life inc.harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the salon, or that may otherwise arise in any way in connection with any services received from Dallas Stretch Four Life inc. I understand that this release discharges Dallas Stretch Four Life inc. from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Dallas Stretch Four Life inc. This liability waiver and release extends to the salon together with all owners, partners, and employees.
I release Dallas Stretch Four Life from all liabilities and complications due to contracting COVID-19.
I agree to wear a face mask to each session. If I do not bring a face covering to my appointment I acknowledge that entry to my session will be denied and the full rate of the session will apply.
I agree to take my temperature upon arrival and when available to have my temperature taken by my therapist with a no contact thermometer.
I agree to wash my hand with soap for 20 seconds or the use of hand sanitizer before the start of my session.
Signature of student, parent or guardian
I _________________________________(print name) understand that Fascial stretching includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust and ask for support from my stretch therapist.
Fascial Stretch Therapy is not a substitute for medical attention, examination, diagnosis or treatment. Fascial Stretch Therapy is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to use fascial stretch. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against (name of Therapist, LLC and/or center).
Massage Client Waiver Form
Please take a moment to read and initial the following information:
_______I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow.
_______If I experience pain or discomfort during the session, I will immediately inform my therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my therapist responsible for any pain or discomfort I experience during or after the session.
_______I understand that the services offered today are not a substitute for medical care. I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.
_______I affirm that I have notified my therapist of all known medical conditions and injuries.
_______I agree to inform the therapist of any changes in my health and medical condition. I understand that there shall be no liability on thetherapist’s part should I forget to do so.
_______I understand that massage is entirely therapeutic and non-sexual in nature.
_______By signing this release, I hereby waive and release my therapist from any and all liability, past, present, and futurerelating to massage therapy and bodywork.
_______I have received the policy statement, and have read and agree to the policies therein.Client name:
__________Information and Suggestions
Prior to your massage, please remove contact lenses and all jewelry. Pull long hair back with a clip or band.
In general, massage is given while you are unclothed. However, you may choose to wear undergarments or a swimsuit. You will be covered with a top sheet throughout your session. This is your massage and you should be as comfortable as possible.
Certain types of massage (shiatsu, cranial sacral therapy, reflexology, Thai massage) require loose, comfortable clothing that allow for freedom of motion.
Feel free to ask your therapist any questions before, during, or after the session. Your therapist is a highly trained professional and will be happy to make you feel informed and comfortable
24 hour cancellation policy: 24 hours notice must be given by phone or email in order to cancel a session. Failure to cancel within 24 hours can result in a late cancel. The late cancel fee is the full amount of the session.
If you no show more than 2 times we reserve the restrict access to our booking software.