Customers understand, acknowledge, agree and hereby voluntarily accept responsibility by signing the electronic massage waiver form.

Client Contact Information

ASSUMPTION OF RISK, RELEASE, WAIVER OF LIABILITY AND INDEMNIFICATION

​You understand that the services that are provided are not a replacement for medical care, should not be construed as a substitute for medical examination, diagnosis, or treatment, that no medical diagnosis will be made, and that you should see a medical provider for any medical issues you may have. It is your responsibility to provide complete and accurate information to the Stretch Intake Form and to inform us of any pre-existing conditions, limitations, or specific sensitivities. By signing below, you understand, acknowledge, agree and hereby voluntarily accept all risk and responsibility associated with services provided and use of any of the facilities at any Body Language Therapeutic Solutions location. You hereby waive all claims, assume all liability, and release and hold harmless, indemnify, and agree to defend us (including our affiliates, agents, and employees) and any other Body Language Therapeutic Solutions location you may visit from liability for any injury, claim, cause of action, suit, demand, and damages (including without limitation, personal bodily, or mental injury, property damage, economic loss, consequential damages, and punitive damages), arising from or related to (1) your failure to disclose any pre-exisiting conditions, limitations, or sensitivities; (2) your failure to inform your therapist of your discomfort or pain during or at the end of services; (3) your presence on the premises of any Body Language Therapeutic Solutions location; and/or (4) any negligence on our part (including our employees). You further expressly agree that this Assumption of Risk, Release, Waiver of Liability, and Indemnification is intended to be as broad and inclusive permitted by law and that if any portion of it is held invalid, the balance shall be valid and continue in full legal force and effect. These provisions are binding on your estate, family, heirs, administrators, personal representatives, and assigns.

YOU ACKNOWLEDGE AND AGREE THAT YOUR CONSENT TO THIS ASSUMPTION OF RISK, RELEASE, WAVER OF LIABILITY AND INDEMNIFICATION IS GIVEN IN EXCHANGE FOR OUR RENDERING OF SERVICES, AND AGREE THAT THIS ASSUMPTION OF RISK, RELEASE, WAIVER OF LIABILITY, AND INDEMNIFICATION SHALL APPLY AT EACH VISIT TO ANY BODY LANGUAGE THERAPEUTIC SOLUTIONS LOCATION. YOU ACKNOWLEDGE AND AGREE THAT BODY LANGUAGE THERAPEUTIC SOLUTIONS IS INDEPENDENTLY OWNED AND OPERATED AND YOUR SERVICES WILL BE RENDERED BY US AND NOT BY MIX SALON STUDIOS OR ANY OF ITS AFFILIATES. YOU UNDERSTAND AND AGREE THAT OUR THERAPISTS ARE OUR EMPLOYEES AND ARE NOT EMPLOYED BY AND ARE NOT EMPLOYEES OF MIX SALON STUDIOS OR ANY OF ITS AFFILIATES. YOU ACKNOWLEDGE AND AGREE THAT AT NO TIME SHALL YOU HAVE A RIGHT TO, NOR SHALL YOU, ASSERT OR BRING ANY CLAIM, DEMAND OR LEGAL ACTION AGAINST MIX SALON STUDIOS OR ANY OF ITS AFFILIATES RELATING TO THIS AGREEMENT OR THE SERVICES PROVIDED BY US. YOU FURTHER ACKNOWLEDGE AND AGREE THAT NEITHER MIX SALON STUDIOS NOR ANY OF ITS AFFILIATES SHALL HAVE ANY LIABILITY FOR (i) ANY OBLIGATIONS OR LIABILITIES RELATING TO OR ARISING FROM OUR RENDERING OF SERVICES TO YOU; (ii) ANY CLAIM BASED ON, IN RESPECT OF, OR BY REASON OF THE RELATIONSHIP BETWEEN YOU AND US; OR (iii) ANY CLAIM BASED UPON ANY ALLEGED UNLAWFUL ACT OR OMISSION BY US OR ANY BODY LANGUAGE THERAPEUTICS LOCATION.

Cancellation

A 24-hour notice is required for cancellation of an appointment, or you will be charged in full for the appointment.

Tardiness

Appointment times are as scheduled and cannot extend beyond the stated time to accommodate late arrivals. Please be on time for your appointment.

Sickness

Massage/bodywork is not appropriate care for infectious or contagious illness. Please cancel your appointment as soon as you are aware of an infectious or contagious condition. If it is within the 24-hour notice period, the cancellation fee will be waived.