Sip and Heal Service Request Form.

STEP 1: We are so excited to meet you!

Please take a moment to fill out the form below so we can personalize your experience.
First Name
Last Name
Your E-mail Address
Phone Number

Area CodePhone Number
How did you find us?
That's awesome! Please tell us who referred you
STEP 2: What You Will Need.
Confirmation
Did you want an in-home painting experience?
If not, a separate location can be organized per your request.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Type of Session:

Other
Type of Party:

Other
# of People Attending

Other
STEP 3: Let’s Talk Paint!

Each paint session includes canvases for each participant, and the choice of either presketched, or free-hand, and the option of multiple designs with a reoccurring theme for an additional charge.
What Type of Canvas?

Other
STEP 4: Choose Your Service.

How Can We Help You Heal?
What made you book a session with us?
Feeling inspired? Restless? Wanted to celebrate? To relax? Let’s make it personal.
What are some things that personally inspire you?
Mantras, nature, music, etc. This will help us cater a playlist, etc. specifically for you.
Any Additional Services

Other
Tell Us Any Special Requests!
STEP 5: When did you want to complete our session?

All sessions can be completed exactly (1) week from receipt of this form.
Please choose one:

Other
Disclaimer: By clicking Submit, you confirm that you have read over the form, understand them and that you agree to them. A 50% deposit for each service upon reservation. Full payment is required to secure paint session. Payment must be made in full (1) month before session. Cancellation must be confirmed for 50% Refunds up to (1) full week before event.

WE ACCEPT CASH, Zelle, Cash App and PayPal.
Should be Empty:

STEP 1: We are so excited to meet you!

STEP 2: What You Will Need.

STEP 3: Let’s Talk Paint!

STEP 4: Choose Your Service.

STEP 5: When did you want to complete our session?