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Youth Consent Waiver

All persons under the age of 18 are required to have a parent or guardian fill out this form. By signing, you agree to abide by the following policies:

  1. You  agree that you are the parent or legal guardian of the minor receiving treatment(s) at our facility.

  2. You understand that you are required to remain at the facility for the entirety of the minor’s treatment(s) and be present in the treatment room.

  3. When booking your minor for the Teen Massage please book your teen with the gender they would prefer for their massage therapist. 

  4. Minor is required to wear swimwear or be fully clothed to receive their service. 

  5. You will also be required, if needed, to assist the minor in preparing for his/her treatment(s) by discussing course of treatment with both minor and therapist

  6. You also agree that you have completed the Intake Form and have informed the therapist of all medical diagnoses, symptoms, medications, and complaints associated with the minor receiving treatment(s).

*I certify that I have completed the Youth Consent Waiver for the above-mentioned minor. And in completing the Client Intake form on day of services have informed the therapist of all relevant medical history and concerns. I understand the scope of work being provided and that it is not meant to diagnose, treat, or cure any condition and is not a replacement for standard medical care. I give permission for my minor child to receive treatment(s) at this facility and agree to all the above terms.

Thanks for submitting!

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