A Touch of Serenity Waitlist Form

A Touch of Serenity Waitlist

Fill out this form and we'll notify you if an appointment becomes available on your desired dates of interest!
Full Name*

First NameLast Name
Mobile Number*
E-mail*
example@example.com
How would you like to be contacted? (select all that apply)*

TextCallEmail
How many people are you interested in scheduling for? (select all that apply)*

Single (for one person)Couples (for two people in the same room)Multiple (for several people in separate rooms)
What type of appointment are you looking to schedule? (select all that apply)*

Swedish MassageDeep Tissue MassagePrenatal Massage (must be in 2nd or 3rd trimester)Shiatsu Massage (with Tim only)Body ScrubHimalayan Salt Stone Massage (with Viviane only)Reiki (with Erika only)Facial (with Kita only)Myofascial Release Massage (with Tim and Viviane only)Lymphatic Drainage Massage (with Naomi, Viviane, and Kelsey only)Infrared Sauna
What length of session are you looking to schedule? (select all that apply)*

30 minute60 minute90 minute2 hourNo preference, first available
How did you hear about us?*

I am a current clientGoogle SearchYelpGift cardFacebookInstagramNext Door AppOther
Please tell us what date(s) and time(s) you would like to be notified of for cancellations and any other important details we should know (i.e. therapist preference, if any)? *
Please verify that you are human*
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