Consultation Form


Please complete this form prior to your scheduled appointment with us.



Email Address:

Contact number:

Your Requested Date:

Your Preferred Start Time:

Appointment Address/Location:

Treatment(s) You'd Like to Reserve?:

Manicure Add-ons/Upgrades
Shellac $20

Are you Pregnant?

Allergies, Medication, or Medical Information we should be aware of:

Additional Message:

We would love to offer our services to anyone and everyone, however there are some basic physical requirements that our customers must meet. Our estheticians are not trained to handle mobility issues and unfortunately must refuse service if the customer cannot meet these requirements

-Table massages are done on our portable massage table with clothing removed. Please note some tables have a weight capacity. Please advise us if you are over 300LBS. Pregnant women please check with your doctor before booking a massage.

It is also understood that any illicit or sexually suggestive remarks or advances made by client (you) will result in termination of the session immediately and the client (you) are liable for payment of the entire scheduled appointment.