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Waiver Form

Please fill out this waiver form before your first yoga class

    Your Details

    Your Emergency Contact Details

    Medical history

    • Allergies that you may have

    • Injuries past or present

    • Operations that you have had

    • Medical conditions

    • Medications that you are currently taking

    Client agreement for Thai massage

    • I will immediately inform Noémie of any discomfort or pain that I experience during the massage so that an adjustment can be provided

    • I acknowledge my responsibility to disclose any medical conditions, including injuries, pregnancy and postnatal, or anything that may impact my ability to receive a Thai massage

    • I understand that bruising can be a normal result of Thai massage

    • I will not attend my appointment feeling ill and understand that if I cancel my appointment late, I may be asked to reschedule at my own cost

    • If you have anything else you need me to know before the appointment, please write it here

    Policy for Thai massage

    Thai massage appointments are subject to a 72h cancellation policy.

    Cancelling within 48h will be subject to a 50% refund and not showing up for an appointment will result in the full fee being charged.

    In case of lateness, the massage will finish at the scheduled time.

    Please seek professional medical advice if you are unsure whether your health will prevent you from receiving Thai massage. Do not book an appointment if your doctor or health care provider advises against it.

    Confirm consent

    Full terms and conditions are available via the legal page on our website.

    By ticking this box, you consent that you have read and agree to the terms outlined in this form

    Now that the formalities are out of the way, we can have a check-in when you arrive for your appointment to discuss how you are feeling and what you might need from your massage.

    I look forward to welcoming you,

    Noémie