CHAIR MASSAGE SIGNUP & RELEASE FORM DATE

2 OPENING STATEMENT CHAIR OF THE SEVENTH
8 05122007 CHAIRPERSONS OF WTO BODIES 1995
CHAIR COMMISSIONERS JACK SHUMAN SARAH BAKER VICE CHAIR

CHAIRMAN PHIL MENDELSON AT THE REQUEST OF THE
DATE 8TH JULY 2021 TO THE CHAIR AND
EXTRA ASSISTANCE AND WHEELCHAIR BOOKING FORM LOGANAIR

Chair Massage Sign~Up Sheet

Chair Massage Sign-Up & Release Form Date _____________________________

* By signing below, you agree to the following;

1) You do not have any serious injuries or conditions that would prevent you from receiving Chair massage (fever, Pregnant,*1st trimester)
2) You’ll be truthful with your therapist about all medical conditions you may have,(strictly confidential).
3) You will report any discomfort or pain to your therapist
during the massage.
4) You understand that massage is for relaxation and therapeutic purposes only.

5) You understand massage therapy is not a substitute for medical care.
6) you release your therapist & associated business from all liability concerning any injury or damages that may occur during or after your massage.


Time Name email (optional) Office Phone/xt Signature









































































֎ www.MedicinebowBodyworkandmassage.abmp.com In The Downtown Evergreen Health Clinic, 28267 Hwy 74, Suite J, Evergreen, Co. 80439 ~ 720-305-7415 ֎


GUIDELINES ON CHAIRING MEETINGS EFFECTIVELY EFFECTIVE CHAIRING
IGU COMMISSION DIVERSITY IN MOUNTAIN SYSTEMS CHAIRMAN
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Tags: chair massage, receiving chair, massage, chair, signup, release