Spa Appointment Form

Spa Appointment Form
Client Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Lodge Name
Dinokeng Lodges Only
Villa/Room Number
Room where treatment is booked
Appointment
Please select the spa services you are interested in

MassageFacialManicure/PedicureWaxing
Choose your treatments

2HR Time Out Package R10002HR Couple's Massage R159990 Min Couple's Massage30 Min Swedish Back & Neck Massage R30060 Min Aromatherapy Massage R60060 Min Hotstone Full Body Massage R50060 Min Swedish Full Body Massage R45015 Min Indian Head Massage R15060 min Leg Massage R45070 Min Full Body Candle Massage R75060 Min Spoil Yourself Massage R900
Please note that a R210 call-out fee applies to all treatment bookings
Any Allergies or Sensitivities
Medical Conditions or Concerns
Special Requests or Preferences
Should be Empty:

Client Information