Name *

First Name

Last Name

Phone *

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###

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UPGRADES *

Select your free Upgrade(s)

Aromatherapy

Extra 10 Minutes

Both Please

Date Preferred for Service *

Please select a Thursday evening or Saturday date for booking.

MM

DD

YYYY

Therapist Preference *

This promotion is for Sessions booked with Dan on Thursdays and Saturdays in October

Daniel

Acknowledgement of Deposit, Cancellation and Professional Policies *

By selecting the below you are indicating that you have read the Policies and are willing to adhere to them while you are a client of Tranquil Waves Massage Modalities.

Yes, I acknowledge the policies and agree to adhere to them.