Massage Therapeutix –  Participant Release & Intake Form
Please complete this quick form before receiving your massage or stretch session. This ensures your safety and allows our providers to deliver the best experience. Your information is confidential and used only for today’s event.
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Full Name *
Email Address *
Used for safety documentation. You will not be added to any marketing list.
Have you received stretch therapy or massage before? *
Are you currently experiencing any of the following? *
Required
If you checked any condition above, please provide details (optional):
What type of service are you receiving today? *
Pressure Preference (for massage only)
Clear selection
I understand this is a wellness-focused service and not a medical treatment. *
Required
I confirm I will communicate immediately if I feel discomfort or pain. *
Required
I acknowledge that I am voluntarily participating and have completed this form truthfully. *
Required
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