Shiatsu Massage Company - Vancouver

CONTACT: Tania Marshall, RST ... 604-837-3239


Time and Date: ____________________________

Chair-Massage Sign-Up Sheet

LOCATION:____________________________________
( Print out in LANDSCAPE mode)
Massage Number
Name
Session

Please allow

5

minutes between massages

Times
Contact
Notes
Full name of person receiving massage
Indicate 15, 20 or 30 minute session
START .- END
Phone and Ext.  
1
           
2
           
3
           
4
           
5
           
6
           
7
           
8
           
9
           
10
           

Advise the therapist of any injuries, medical conditions, low blood pressure or pregnancy. Please remove watches, necklaces, name tags, pagers and cellphones. Thank You!

 

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