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Nurturingways

KAHUNA CLIENT FORM

Contact:

Allergies/skin sensitivities (oils, lotions, nuts, fruit etc)
Are you on medication?
Are you Pregnant?
Have you had a kahuna before?

By signing below, I acknowledge that I am aware of the benefits and risks of massage therapy and that I have completed this form to the best of my knowledge. I also agree to inform my massage therapist of any health or medical changes.

Client Signature

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