Migun Canada Thermal Jade Massage Bed

You have reached our online registration for Migun (Toronto Branch). This online registration for free trials is for Ontario Residence. Please read and fill out the below registration form for your free trial by printing out the form on this page. You can either fax your completed registration form back to us at (905) 305-8578 or email it to us at info@miguncanada.com Ensure to fill out the part about your present health conditions, issues, and symptoms in detail, so we can best accommodate you with your particular health concerns and needs. Should you have any questions on our registration process or require further assistance, please contact us at (905) 305-8578 or Toll Free: 1-877-813-8601. You can also email us at: info@miguncanada.com Download Form
Name:
Date of Birth:
Age:
Address:
Telephone:
Email Address:
Current Health Status:
List All Allergies:
List All Current Medications:
In Case of Emergency Call:
Relationship:
Type in "YES" if you have understood and agree with the disclaimer below. Otherwise type "NO".


Disclaimer: I hereby release MIGUN Total Health and Beauty Clinic any of their employees or assigns of any and all liability resulting from use of the Migun bed at this showroom. Prior to use of the Migun bed, I understand that I need instructions from MIGUN Total Health & Beauty Clinic employees on how to safely operate the Migun bed and Migun bed ’ s effects on my body. In addition, I have inspected the Migun bed for any defects releasing MIGUN Total Health and Beauty Clinic and their employees and assigns of any and all express or implied guarantees and/or warranties. I hereby declare that I will take full responsibility for any and all risks of the quality and performance of the Migun bed, as well as possible injuries, health consequences, or other reactions resulting from use of the Migun bed.