1. I authorize this massage spa clinic/center to perform the treatment or necessary procedure for myself or my child.
2. I understand that this is an alternative treatment and if there are any medical concerns, I need to talk to my physician.
3. I acknowledge that this massage therapy has no sexual intent and touching the therapist is strictly prohibited.
4. I release this massage spa clinic/center for any responsibility in case of an accident, illness, or injury.
5. I acknowledge that all information I provided in this form is true and accurate.