Massage Scheduler

Massage Scheduler & Intake Form
Relax. Renew. Revive. Schedule a massage today with CMT Cheryl Fischer.

Pricing:

30 Minutes ($45 Member, $60 Non-Member)

60 Minutes ($65 Member, $80 Non-Member)

75 Minutes ($80 Member, $95 Non-Member)

Fill out this form to schedule your massage! If you have questions, contact Cheryl Fischer at massage@princetonclub.net
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
E-mail*
example@example.com
Are you a Princeton Club Member?*

YesNo
Are you a new client of massage with Cheryl or a repeat client?*

New client (new clients must fill out intake form)Returning client (proceeds directly to scheduling)

Appointment
Make an Appointment*
What length massage do you want?*
Any notes or additional information you would like us to know?

Client information are confidential and written authorization is required to release any information.

Arrive 15 minutes before your scheduled session and the Massage Therapist will meet you at the Front Desk.

If you are sick or injured, the Massage Therapist may have to decline the massage in the best interest of the client per massage protocol. If you are pregnant, consult a physician for approval prior to the appt.

The mimimum age for massage is 15. Any client age 15-17, a parent must be present and sign off for the massage.

The cancellation policy is 12 hours with all massages or you will be charged to your account automatically. Please call 414-525-2396 for any changes you need to make in your appt.

Payment for massages can be made at the Front Desk either before or immediately after the appt. You may also put the massage on your House Account (if you have an account set up). Gratuity is always appreciated via cash only or Venmo.

Client Agreement:

I understand that therapeutic massage therapy does not diagnose and heal illness, disease, any physical or mental disorder.

I acknowledge that massage therapy is not a substitute for medical examination or diagnosis, and it is recommended that a physician be seen for that service.

I understand that this treatment is designed to address the care and prevention of myofascial pain and dysfunction.

I understand that at any time I feel pain or discomfort during the session, I will immediately inform my therapeutic massage therapist.

I have stated my pertinent medical conditions, and will update the massage therapist of any changes in my health status.

By my electronic signature below, I agree to the massage policy and client agreement above.
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Massage Scheduler & Intake Form

Health Information

Appointment