Sparkes Wellness Client Information Form

Consent for Personal Training, Yoga, Thai Yoga Massage & Assisted Stretching *I understand that the purpose of this session is for personal training, yoga, and/or Thai yoga massage. I understand that it is not meant to diagnose or treat any illness, disease, or any other physical or mental disorder, injury, or condition. I have informed my practitioner about my state of health, and I have transmitted to her any recommendations and restrictions on the part of my medical doctor or therapist insofar as this session is concerned. *Please NOTE: 24 hour Cancellation Policy In order not to be charged for a session please contact me via phone at least 24hours prior to scheduled session. Thanks!
* Required












Personal Training, Yoga











Thai Yoga Massage









Thank you!

I'm looking forward to working with you. :) Elyse Ignite Your Health. Sparkes Wellness www.sparkeswellness.com 347-370-9353

Never submit passwords through Google Forms.