Free Spa Registration Form

Please complete this form to help us personalize your spa experience and address any health considerations.
Name
Date of Birth
Phone number
Do you have any allergies?
If yes, please specify:
Current Medications
Any Medical Conditions?
e.g., high blood pressure, skin conditions
Areas of Concern
e.g., back pain, skin type
Treatment Preferences
Preferred Spa Services
Massage Therapy (e.g., Swedish, deep tissue, hot stone)
Facial Treatments (e.g., anti-aging, hydrating, exfoliating)
Body Treatments (e.g., body wraps, scrubs, detox)
Aromatherapy (e.g., relaxing essential oils, stress relief)
Manicure and Pedicure
Hair and Scalp Treatments
Are you interested in any specific add-on treatments?
Signature
I confirm that the information provided is accurate and up-to-date.
Name:
Date:
Thank you for submission!
We appreciate you taking the time to submit.
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