Before taking any appointment or class with Colin that involves intimate touch or sensual / erotic arousal to your or to others you will be required to read and sign a copy of this form. You will be given the form to sign again at the termination of the appointment or class .
Intimacy Matters
Psychosensual Treatment & Sensual Massage
Client Agreement & Satisfaction of Service Form
Client Name Date & Time
Treatment Type New or Repeat
Before taking your treatment, please read this and if in agreement initial at the first signature space
I understand that sensual massage and psychosensual treatments can be provided for stress reduction, relaxation, sexual exploration and help with sexual performance challenges and emotional blockages in achieving arousal. I understand that the treatment is intended to be arousing and will incorporate sensual and erotic arousal that will include genital arousal and possible orgasm. If I experience pain or discomfort during a session or I wish the therapist (Colin and any associate he may work with) to cease any aspect I will immediately inform Colin verbally so that pressure/strokes/arousing stimulation can be adjusted to my level of comfort or at my request, stopped.
I understand the services I receive today are not a substitute for medical care and that Colin or his associates are not qualified to perform spinal or skeletal adjustment, diagnose prescribe or give medical advice. I affirm that I have completed the required Authorisation & Request Form before the treatment, indicating my personal requirements, areas of exploration and limits for the treatment. I also understand that these can be adjusted during the treatment at my request and that this will be noted on this form and acknowledged and authorised by me before departing. I agree to inform Colin and any associate of any changes in my health and medical condition. I understand that there shall be no liability on the therapist part should I forget to do so.
By signing this release, I hear by acknowledge all information given is correct and waive and realise Colin and any associate he may be working with from any and all liability, past present and future relating to this treatment or class or any other treatment or teaching class that may involve intimate touch.
I confirm that before receiving a sensual massage treatment that I have completed the relevant Authorisation & Request Form giving my guidance as to the level and intensity of erotic arousal I wish to experience within this treatment.
Sign this section before receiving your treatment – I have read the above and agree
Signature …………………………………………………………………………………….
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End of Treatment
I have completed the treatment and confirm that I am satisfied with the content and service I received and that it followed all requests and boundaries specified in my most recent Authorisation & Request form. Any additional elements that I subsequently asked to experience during the massage that were not specified on the form but were included are itemised on the rear of this agreement and authorised.
Print Name Signature
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Date …………………………………….. Time…………………………………….