Wait List / Appointment Request
Your Name
First Name
Last Name
Your Phone Number
Please enter a valid phone number.
Your Email Address
example@example.com
Service or services you are requesting
Massage
Birth + Body Treatment
Facial
Lash Lift
Waxing
Other
Preferred Days
Monday
Tuesday
Friday
Saturday
Preferred Time of Day
Morning
Afternoon
Evening
Anything else you'd like us to know about your appointment request?
Submit
Should be Empty: