Workshop Consultation Form - Jayne Sarah Therapies

Name*

The data collected in this form will be kept securely in accordance with GDPR 2018. Your email address will be used to send you a feedback form after the workshop.

First Last

Email*

What are you hoping to gain from this massage workshop?*

(If applicable) Are you pregnant? If yes, please state how many weeks.

What experience of giving and/or receiving massage do you already have?

Please detail any surgery or broken bones you've had in the past 5 years, any injuries or illnesses that you have, or medication that you are taking:

Do you have a nut allergy?*

Yes
No

Are you vegan?

Yes
No

If yes, I will purchase Vegan massage wax to use during your workshop.

How did you hear about Jayne Sarah Therapies?*

Disclaimer*

I understand that this workshop is designed for my enjoyment and in no way qualifies me as a massage therapist. Any massage I provide after this course is done at my own risk and at the risk of the individual I massage.
I understand that I must give at least 48 hours notice to cancel a workshop with Jayne Sarah Therapies, otherwise I will be charged a full price cancellation fee. (The only exceptions to this are a sudden onset of Covid symptoms, or a contagious or infectious illness)
I am happy to go ahead with the massage workshop. I understand that on the day of my treatment I will be advised of the effects of massage and how it will affect any of the conditions I have listed above.

Workshop Consultation

Qualifications & Accreditations