Event Intake Form

Required Field

For Chair Massage & Bodywork

Thank you for being here. These short chair massage and bodywork sessions are meant to offer grounding, relief, and presence in a shared space. Please take a moment to read and complete this form before your session.

Personal Info
Contact Info
Informed Consent

By signing below, I acknowledge:

  • I understand this session is for general wellness and does not replace medical or mental health care.

  • I’ve shared anything that might affect today’s session, including injuries, sensitivities, or access needs.

  • I take full responsibility for my body and well-being during and after the session.

  • I release the practitioner(s), organizers, and host(s) from liability for any unintended effects.

  • I know I can pause or end the session at any time.

Review & Agree