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Client Consent and Agreement Form

Date: [Date]

I, [Client's Full Name], hereby acknowledge and agree to the terms and conditions outlined below regarding my participation in the services provided by Jackie Tha Muscle Whisperer:

1. Service Agreement: I understand and agree that by scheduling and participating in any services offered by Jackie Tha Muscle Whisperer, I am entering into a binding agreement. I am aware that these services encompass a range of healing techniques, including but not limited to bodywork, energy work, and emotional release.

2.  Deposit Policy: I acknowledge that a non-refundable deposit is required to secure my appointment slot. This deposit is due at the time of booking and is required to hold my appointment. I understand that this deposit confirms my commitment to the scheduled session and is non-refundable under any circumstances.

3. Chargeback Voidance: By signing this form, I explicitly consent to void any and all chargeback claims that may be submitted to my banking institution or any other financial platform for transactions related to services provided by Jackie Tha Muscle Whisperer. I understand that this form serves as an agreement that any such chargeback claims will be automatically voided by my banking institution due to my acknowledgement and acceptance of the terms laid out in this form.

4. Value of Appointments: I fully comprehend and acknowledge that each appointment slot with Jackie Tha Muscle Whisperer is of significant value. The time allocated for each appointment is finite and could have been allocated to another client seeking healing services. I understand that the deposit requirement is in place to ensure a respectful commitment to the allocated time and that refunds will not be granted once the deposit is paid.

5. Informed Consent: I acknowledge that I have read and understood the terms of this form. I have had the opportunity to ask questions and seek clarification about any aspect of the services or payment policies outlined here. I am providing my consent voluntarily, with full understanding of the implications and agreements contained within this document.


Client's Signature: ___________________________ Date: ______________

Client's Full Legal Name (Printed): ___________________________

Client's Contact Email: ___________________________

Client's Contact Phone Number: ___________________________

Client's Residential Address: ___________________________


By signing above, I confirm that I have read, understood, and agreed to the terms and conditions set forth in this consent and agreement form. I acknowledge that this agreement serves as my commitment to honor the policies outlined herein and to comply with the voidance of any chargeback claims that may be submitted against the services rendered by Jackie Tha Muscle Whisperer.

This form shall be considered legally binding and enforceable to the fullest extent allowed by law.

[Your Orga

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