Event Massage Intake Form

Event Massage Intake Form

We look forward to working with you!
Full Name for our Point of Contact:*

First NameLast Name
Contact's Phone Number:*
Contact's Email Address:*
example@example.com
Have you Previously Worked with Greensboro Massage and Bodywork?*

YesNo
Name of Company, Event, School, or Organization:*
Who is hosting this event?
Location for Massage Event:*

Street Address

Street Address Line 2

CityState

Zip Code
Any Important Conditions Regarding the Location or Setup We Should Know About:

OutdoorsNo Heat / Air ConditioningStairs RequiredOther
Any Instructions Our Massage Therapists May Need for Finding Parking or Entering:
Example: Gate with Password, Specific Parking Location, ID Required, etc.