SPORTS MASSAGE PRE-SCREEN QUESTIONNAIRE
Thank you for booking in for a sports massage at Earn The Right!
Please complete our pre-screen questionnaire below. This information will ensure you receive the best possible treatment when you visit us, in accordance to your specific needs.
Agreement for participating in services provided by Earn The Right. I acknowledge that it is a condition of participation that I do so at my own risk. I accept all risks and hereby indemnify and release the masseuse, agents, affiliates, employees, members, sponsors, promoters and any person or body directly and indirectly associated with Earn The Right, against all liability (including liability for their negligence and the negligence of others) claims, demands, and proceeding arising out of or connected with my participation. I acknowledge that participation may involve a risk of serious injury or even death from various known & unknown health related causes. I recognise the risks associated with the participation in any activity provided by Earn The Right and attest I am physically fit to participate safely in the activity and that a qualified medical practitioner has not advised me otherwise. I am not aware of any medical condition, injury or impairment that will be detrimental to my health by participating in services provided by Earn The Right. In the event that I become aware of any medical condition, injury or impairment that may be detrimental to my health, Earn The Right will be immediately informed. By continuing to participate, I accept the risks despite these conditions and am still, and will always be under the terms of this agreement. I certify that I am 18 years or older and have read this document and fully understand it OR as a parent or guardian of the participant (a) I agree to the above for myself and on behalf of the participant and (b) I indemnify and will keep indemnified any person or body directly or indirectly associated with the conduct of the activity on the terms referred to. By submitting this form you acknowledge and agree to the terms above.