As a parent/guardian I have read this Minor Release Form and give permission for my child to receive massage therapy treatment.
By signing below you agree that you are the parent or legal guardian of the minor receiving massage therapy treatment at Evergreen Massage. You understand that you are required to be in the room with minors from zero to 15 years of age while they are receiving massage therapy treatment. You will also be required, if needed, to assist the minor in preparing for his/her treatment.
I certify that I have completed the General Intake form for the above-mentioned minor and informed the therapist of any and all relevant medical history and concerns associated with the minor receiving massage therapy treatment. I understand the scope of massage therapy and that it is not meant to diagnose, treat, or cure any conditions and is not a replacement for standard medical care.
By signing below you confirm that you have read and understood this Minor Release Form and that you agree to abide by the content contained herein. By signing this release, I give permission for my minor child to receive treatment at Evergreen Massage and agree to all the above terms.