Massage Therapy Consent & Waiver
By purchasing the massage therapy services, your are voluntarily receiving Massage Services from Men’s Bodywork by Trevor James and you consent to waive certain legal rights, including the right to sue Men’s Bodywork by Trevor James and, if applicable, its owners, therapists, representatives, and facilities from any physical, material, tangible or intangible loss or damage that may happen to you during your participation in any of the massage services (hereinafter, "Massage Services").
It is your responsibility to disclose any health disorders you have or any areas, which may be sensitive to physical touch. Examples of such disorders include (the following is not to be considered a comprehensive list and you may circle those applicable): bone or joint disease, allergies, tendonitis, rashes, bursitis, athletes foot, broken/fractured bones, warts, constipation, neck pain, shoulder pain, arm pain, low back pain, hip pain, leg pain, headaches, head injuries, herpes, shingles, arthritis, diverticulitis, any irritable bowel syndrome, fatigue, sleep disorders, spasms, cramps, TMJ/jaw pain, muscle sprains or strains, depression, anxiety, cancer, tumors, PMS/PMDD, endometriosis, varicose veins, diabetes, infectious disease, high blood pressure, low blood pressure, eating disorders, easy bruising, blood clots, lymphedema, sinus problems, respiratory difficulties or conditions, heart disease, asthma, drug/alcohol addictions, caffeine addiction, nicotine addictions, thyroid disorders, adrenal disorders fibromyalgia, or any chronic pain:
Financial Notice: You are required to give at least 24-hours' notice in the event that an appointment needs to be cancelled. If 24-hours' notice is not received, the following will apply:
$75 cancellation fee
Late Arrivals: If you arrive late to your appointment, you risk having your time shortened to accommodate all scheduled clients. When you arrive, the Massage Services Provider will ascertain whether a late start is possible. A late start may not be possible if you have arrived too late or if the Massage Services Provider finds any reason to cancel the appointment. Regardless of the outcome or time, you will be responsible for the full cost of the session. Therefore, please do not arrive late.
By purchasing the massage services, you indicate that you agree with and understand the following:
It is your responsibility to consult a physician before participating in these or any massage services and you affirm that you have no medical conditions that would restrict you from participating in any of the Massage Services.
You agree to hold Trevor James, and if applicable, its owners, therapists, representatives, and facilities harmless from any damage, whether tangible or intangible, that may happen to you while participating in the Massage Services.
You agree that Trevor James offers the Massage Services with no guarantee of results. You agree that any results that occur, whether positive or negative, are the effects of your own personal choices.
You agree that participation in the Massage Services is not a replacement for actual medical care, and that if you do experience medical issues, you will contact your doctor immediately.
You agree and verify that all of the information that you have given Trevor James and its representatives is accurate, up-to-date, and without the omission of any known medical issues.
You agree and verify that If you have omitted any necessary personal information, whether knowingly or unknowingly, you will hold Trevor James harmless against all liability for any damages that may occur to yourself or to others because of your actions or inactions.
You agree to keep Trevor James apprised of any changes or upcoming changes concerning my physical health and personal information.
You understand and agree that it is your responsibility to let Trevor James know if you find myself in any pain or discomfort before, after, or during the Massage Services.
If you do require medical treatment or attention while or after participating in the Massage Services, you agree that the medical costs are yours and yours alone and hold Trevor James blameless from any charges, fees, or costs that your conditions may incur.
This Massage Therapy Consent & Waiver will bind and be enforceable against you and all of your personal representatives. You agree that this Massage Therapy Consent & Waiver should be enforceable to the fullest extent of the law, and if any portion is held invalid, the remainder should continue in full legal force and effect.
This Massage Therapy Consent & Waiver shall be construed and interpreted as broadly as possible in the applicable jurisdiction.
ASSUMPTION OF RISK. You understand and are aware that your participation in the Massage Services involves risks. These risks may lead to tangible or intangible harm, and you agree that they may result not only from your own actions but also from the actions of others. With the knowledge and understanding of these risks, you choose, of your own will and volition, to continue participating in the Massage Services.
You understand that, because massage therapy work involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, you acknowledge that you are aware of the risks involved and give consent to receive massage and bodywork from this practitioner.
You are also aware that there are risks that you may not have considered, yet you waive your right to any claims that may occur from these unconsidered risks and you choose, of your own will and volition, to participate in the Massage Services.
COVENANT NOT TO SUE. You will not start any lawsuit or other court action against Trevor James, or, if applicable, facility, nor will you join any such proceeding, including any claim for money damages. You acknowledge and agree that you are entering a covenant not to sue Trevor James in any capacity, including to hold Trevor James liable for any injury, loss, or damage sustained by you or your property, even if it is due to Trevor James’s negligence or omission. You also waive the right of any of your insurers' to make any such claim.
INDEMNIFICATION: You agree to defend and indemnify Trevor James and any of its affiliates (if applicable) and hold them harmless against any and all legal claims and demands, including reasonable attorney's fees, which may arise from or relate to your use or misuse of the Massage Services or your conduct or actions. You agree that Trevor James shall be able to select its own legal counsel and may participate in its own defense, if desired.
REPRESENTATION: You are over 18 (eighteen) years of age, and am medically and physically able to participate in the Massage Services.
GOVERNING LAW: This Massage Therapy Consent & Waiver shall be governed by and construed in accordance with the internal laws of California without giving effect to any choice or conflict of law provision or rule. Each party irrevocably submits to the exclusive jurisdiction and venue of the federal and state courts located in the following county in any legal suit, action, or proceeding arising out of or based upon this Massage Therapy Consent & Waiver: Los Angeles County.
You acknowledge that you have read the above Massage Therapy Consent & Waiver fully and you understand and agree to its contents. You understand and agree that by this Massage Therapy Consent & Waiver you forfeit any right, claim, or ability to hold Trevor James responsible for any tangible or intangible damages, loss of property, or loss of life that may occur during or after your use of the facilities and participation in the Massage Services.