Appointment Request Form

Appointment Request

Please fill out this form and we will do our best to contact you within 48-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. Please note: Not all of our therapists perform each modality listed, also if you choose a specific therapist that is unavailable during the time frame you’ve selected- the therapist that is available for that time frame will contact you.
Full Name*

First NameLast Name
Cell Phone number*

Area CodePhone Number
E-mail*
example@example.com
Select any that apply. I prefer to be contacted back through:*

E-mailPhoneText message
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What days work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time works best for you?*

Morning (9a-11:30a)Afternoon (Noon-4:30p)Evening (5p-8p)Any time
Do you have a specific LMT you’re interested in working with or are you looking for the 1st available appointment? Select all that apply.*

JuliaStephanieElizabethRachealAny therapist is fine.1st available appointment.
How long of a session are you interested in?

60-Minutes90-minutes2-hour
Which type of massage session are you interested in?*

PrenatalCuppingMyofascial Trigger PointReikiSportsIntegrative
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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