Appointment Request
Please fill out this form and a therapist will contact you within 24-hours!In the meantime, check out our website at www.KneadedReliefMassageStudio.com. If you are looking for same-day appointments, please contact us by phone at 615-348-5544.
Full Name
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First Name
Last Name
Cell Phone number
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Area Code
Phone Number
E-mail
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example@example.com
Select any that apply. I prefer to be contacted back through:
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E-mail
Phone
Text message
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What days work best for you?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What time works best for you?
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Morning
Afternoon
Evening
Any specific date/time?
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Month
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Day
Year
Date
1
2
3
4
5
6
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9
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Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Which type of massage session are you interested in?
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Swedish
Deep Tissue/Therapeutic
Prenatal
Cupping
Myofascial Trigger Point
Reiki
Sports
Massage therapy is for relaxation and therapeutic purposes only. There is absolutely no sexual component to massage whatsoever. Any insinuation, joke, gesture, conversation, or request otherwise will result in immediate termination of your session and a refusal of any and all services in the future. You will be charged the full session fee regardless of the length of your session. Depending on the behavior exhibited we may also file a report with the local authorities if necessary. Treat your therapist with respect and dignity and you will be treated the same in return. By signing below you both acknowledge and agree to these terms.
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