Legal

Informed Consent – Assumed Risk and Body Massage

I desire to voluntarily participate in massage therapy. I understand that massage therapy offered by Massage Now! (“Massage Now”) is for the sole purpose of stress reduction, relief from muscular tension or for increasingcirculation. I understand that, before beginning any massage therapy, I need to be evaluated by my primary care physician(s) and any specialist physicians(s) that I may rely upon for my medical care. I further understand thatI have a duty to inform Massage Now personnel of any recommendations and/or limitations from my physician(s) and/or specialist(s) prior to participating in massage therapy. I hereby represent and agree that I do not haveany past/current medical conditions that may be affected or made worse by massage. I understand and agree that I shall not seek or take any medical advice from the Massage Therapists at Massage Now. I understand that Massage Now is not a doctor’s office or physical therapist office. I understand and acknowledge that the massage therapists and staff are not medically trained and do not and cannot diagnose any illness, disease, injury or anyother physical/mental disorder. As such, the massage therapist does not prescribe medical treatment or pharmaceuticals, nor do they perform spinal manipulations. Massage therapy is not a substitute for medical examinations

or diagnosis and may result in some physical discomfort, stiffness or pain. By executing this form I hereby assume, without limitation, all risk of injury, damages, costs, fees, claims that may result from my participation in themassage therapy. I agree that I shall immediately notify Massage Now personnel of any unusual symptoms or abnormal, pain or unusual discomfort.

Informed Consent - Wavier and Release of Liability

I hereby agree and understand that I must advise the Massage Now massage therapists of any existing physical conditions prior to participating in each massage therapy session and I will keep the therapist updated as any healthissues or conditions may change. I understand that the physical and emotional responses to any treatment vary on an individual basis and that specific results are not guaranteed and may result in some physical discomfort,stiffness or pain. Therefore, in consideration for any treatment's received, I agree to hold harmless, indemnify, defend and release from any liability all employees at Massage Now, its affiliates, any related entities, employees,contractors, heirs, assigns, agents and personnel for any conditions or results, known or unknown that may arise as a consequence, and or all damages, injuries, physical discomfort, stiffness, pain, cost, fees, claims, of anymassage that I received including but not limited to any accidental touching or sexual misconduct described herein.

Company Policy – Customer Notice of Prohibiting Sexual Misconduct

I understand that Massage Now does not tolerate any sexual misconduct by its employees, contractors, agents or personnel or its patrons. Sexual misconduct is strictly prohibited in our workplace. Illicit or sexually suggestiveremarks are strictly prohibited. Employees, contractors, agents or personnel, are not allowed to display, initiate or participate in any type of sexual misconduct with other staff members or customers. I understand that duringany body massage I am to wear underwear or towel to prevent any accidental touching. If there is any accidental touching I understand and acknowledge that it is my responsibility to notify the massage therapist immediately.If this occurs again after I have notified my therapist, I understand that I must stop the massage and notify management immediately. I also understand that I must make the notification to management prior to payment of mybill or leave the premises.

Notice – Medical Conditions

If you notice any of the following conditions, please see your doctor for their approval prior to obtaining a massage: Tendon/muscle ruptures, edema, neuromuscular diseases, arthritis, lupus, blood clots, vascular dysfunction,bursitis, burns, artificial blood vessels, pregnant or a high-risk pregnancy, skin infection, skin lesions/open wounds/sores, any infection disease, herpes, rashes, cancers, irregular feelings, lightheaded, trouble breathing or heartattacks. If you have been diagnosed or experiencing any of the above, please contact your doctor about your conditions. I will also notify Massage Now about any special conditions I may have so that the therapist can avoidpoints. For example, I may be pregnant or I may be in the process of trying to get pregnant so that the therapist can avoid that may induce labor/miscarriage.

Notice – Personal Belongings

I agree that I will be solely responsible for all of my personal belongings including but not limited to Jewelry, cell phones or any electronics that I brought or leave at the premises. I fully release and indemnify Massage Nowand its affiliates as they are not liable for any of my personal belongings.

Governing Law, Jurisdiction, Venue

This Form shall be interpreted, administered and enforced in accordance with the laws of the State of Georgia (exclusive of its conflict of laws rules). Any claim or cause of action of any kind arising out of or connected withthis Form shall be adjudicated solely and exclusively in either the U.S. District Court for the Atlanta District of Georgia or the State Court of Cobb County, Georgia. Each Party consents to the personal jurisdiction of suchcourts for this purpose and waives any objection to the personal jurisdiction or venue thereof, including forum non-convenience. Notwithstanding the foregoing, a judgment obtained in the State of Georgia may be enforced inany other state, district, or territory.

Entire Agreement

This Form contains the entire and only agreement between the Parties with respect to the subject matter hereof. Any representations, promises, or conditions in connection therewith not incorporated hereinshall not be binding on either Party. This Form supersedes all prior understandings, representations, negotiations, promises and agreements relative to the subject matter hereof. No modification, ratification, rescission, renewal,abandonment or waiver of this Form, or any of its provisions, or any notice of termination hereof given by the Parties shall be binding unless made in writing and signed by the Parties or an officer of the Parties.

Severability

If any provision of this Form is held invalid, void or unenforceable under any applicable statute or rule of law, it shall to that extent be deemed omitted, and the balance of this Form shall be enforceable inaccordance with its terms.