Waiver Form

Please only sign this waiver if you have not already signed it, or if you do not have an account on our website.

  • The name of the company or person sponsoring/hosting your massage.

  • Waiver - Please Read & Agree

    Please read and agree to our terms of service.

  • This Client Agreement (the Agreement) is made between Bryant Business Ventures, Inc. DBA Altos Mobile Massage, a California corporation (the Company), and (Client) to be effective as of the date that the client signs the agreement electronically (the Effective Date).

    The Client and the Company hereby agree to the following terms and conditions.

    The Company has agreed to provide the Client with [massage/yoga/meditation] services (the Services). The Services shall be provided by a licensed massage therapist/licensed yoga instructor/qualified meditation instructor.

    Informed Consent. The Client hereby consents to receive the Services and from the Company and its contractors to provide Services to the Client. The Client understands that the Companys contractors are not physicians and do not diagnose illness or disease or any other physical or mental disorder. The Client clearly understands the Services are not a substitute for a medical examination.The Client acknowledges that no assurance or guarantee has been provided to Client as to the results of the Services.

    Physical Health. The Client represents that he or she is physically and mentally sound and suffering from no condition, impairment, disease, infirmity, or other illness that would prevent the Client from receiving the Services or that would risk his or her health or well-being while receiving the Services. The Client acknowledges that he or she has received a physical examination and has been given his or her physicians permission to receive the Services or has knowingly chosen to not obtain his or her physicians permission prior to beginning the receipt of Services.

    Assumption of Risk. The Client certifies that the Client voluntarily agrees to receive the Services. The Client understands and acknowledges that the Services by their very nature, carry with them certain inherent risks that cannot be eliminated. The Client understands and acknowledges that, regardless of the care taken by the Company and its contractors, the Company cannot guarantee the Clients personal safety, health or well-being. The Client acknowledges that when receiving the Services, there is always a possibility that injuries may occur. The Client expressly assumes and accepts sole responsibility for his or her health and safety and for any and all injuries that may occur. The Client understands that he or she must inform the Company of any medical conditions, medications or other factors that may affect the Client's ability to safely receive the Services.

    Indemnity. The Client agrees to hold harmless and indemnify the Company, the Company's contractors, employees, officers or affiliates, and the company or person sponsoring/hosting Client’s massage (“Location”), as well as the owners, contractors, employees, officers, or affiliates of the Location, from all claims (whether initiated by the Client or by a third party) and to reimburse them for any expenses incurred as a result of the Client's involvement with the Company or receipt of the Services.

    Acknowledgement. The Client acknowledges that he or she has carefully read this Agreement and understands that it is a complete and absolute release of liability. The Client agrees that he or she has knowingly agreed to receive the Services and that Client has been given an opportunity to ask questions regarding the Agreement and the Services.

    COVID-19: “I understand that close contact with people increases the risk of infection from COVID-19. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive massage from the massage therapist.” “I understand that my name and contact information might be shared with the state health department in the event that a client or practitioner at this facility tests positive for COVID-19. My contact details will only be shared in the event they are relevant based on suspected exposure date, and only for appropriate follow-up by the health department.”

  • By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
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