Name *

First Name

Last Name

Massage Preference *

Please note: If there are specific medical conditions, soreness, injuries or otherwise that should be addressed please provide a detailed description of the condition in the message field below. We'll work with you to determine the best option suited for each individual situation.

(60min/$135) Deep Tissue/Therapeutic Massage

(90min/$200) Deep Tissue/Therapeutic Massage

(60min/$135) Sports Massage

(90min/$200) Sports Massage

(60min/$120) Swedish Massage

(90min/$180) Swedish Massage

(60min/$135) Pregnancy Massage

(90min/$200) Pregnancy Massage

Preferred Date *

We try to accommodate all dates, however there can be schedule conflicts. We ask that you are flexible in your date(s) chosen. We will work with you to schedule a time that is convenient for the earliest availability.

MM

DD

YYYY

Location *

Appointments are usually scheduled in the safety of the clients' home unless otherwise pre-arranged. Corporate clients please add your office location.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Status *

New Client

Existing Client