If any behavior on the part of a client is considered inappropriate, including but not limited to off-color
comments, sexual innuendo and/or rude requests, the session will be terminated immediately and payment WILL NOT BE REFUNDED.
Name:
E-mail:
Telephone: ex. 123-456-7890
What type of massage do you want? Ex. Deep Tissue, Shiatsu, etc...
Do you want a RELAXING or THERAPEUTIC massage?
Do you have any injuries?
Do you have any concerns?
Are there any parts of your body you would like me to concentrate on?