Event Participant Intake & Release Form
Thanks for participating in today’s event! Please fill out this brief form to confirm your participation and consent for massage or assisted stretch services. We’ll use this info to help you recover and feel your best.
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Email *
Full Name
Email Address *
Phone Number *
Company / Organization / Event Name
 *
Are you currently under a physician’s care or have any recent injuries we should be aware of?
 *
Required
Are you allergic to any oils, lotions, or scents?
 *
Required
Areas of focus or concern (select any):
 *
Required

I understand that massage therapy and assisted stretch services are provided for relaxation, stress relief, and general wellness. I acknowledge that Massage Therapeutix and its therapists do not diagnose, treat, or prescribe for medical conditions.

I voluntarily agree to receive massage and/or stretch services and release Massage Therapeutix LLC, its affiliates, and therapists from any liability for injury or damages, except in cases of gross negligence.

I confirm that I have disclosed relevant health information and consent to receive services today.

Type Full Name as Signature

Date *
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Marketing Consent
A copy of your responses will be emailed to the address you provided.
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