By checking the box below, I certify that I am the above named person, that the above information is accurate, that I agree to the above terms and conditions and I understand that because massage should not be done under certain medical conditions, I have answered all questions pertaining to medical conditions truthfully. I forever release Wild Rose of any unfortunate and highly unlikely event of injury resulting from any and all agreed therapeutic services. I also agree to the terms and conditions, cancellation policy and late policy.