Power of Touch Massage Booking Form

Power of Touch Massage Booking Form

Please fill out the form below to schedule a massage session for your canine or equine companion. Please note the fee charged today is to secure your spot on my calendar, the remainder of the cost will be due at the time of service.
Owner Information
Owner's Full Name*

First NameLast Name
Owner's Email Address*
example@example.com
Owner's Phone Number*
Please enter a valid phone number.
Preferred Method of Contact
Type in either phone, text or email.
Preferred Method of Contact*

Area CodePhone Number
Owner's Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
How many animals are you addressing in this form?*
PLEASE REMEMBER THAT WHEN BOOKING MORE THAN 2+ EQUINE MASSAGES YOU GET A DISCOUNT CODE. YOU MUST GET THAT CODE FROM MADELYNN.

Pet 1 Information
Pet One Information

Use one spot per pet.
Pet 1 First Name
Type of First Animal
First Animals Gender
First Breed of Animal
First Animal's Age (years)
First Animal's Weight

Pet 2 Information
Pet #2 Information

Remember to get the discount code before checking out!
Pet #2 First Name
Type of Pet #2
Second Animals Gender
Second Breed of Animal
Second Animal's Age (years)
Second Animal's Weight

Pet 3 Information
Pet #3 First Name
Type of Pet #3
Third Animals Gender
Third Breed of Animal
Third Animal's Age (years)
Third Animal's Weight

Pet 4 Information
Pet #4 First Name
Type of Pet #4
Fourth Animals Gender
Fourth Breed of Animal
Fourth Animal's Age (years)
Fourth Animal's Weight

Medical History
Does your animal have any medical conditions, injuries, or lameness issues?
List any and all medications or supplements.

Scheduling your Session
Scheduling

The prices you will see are the cost of the service however you will only be billed the flat rate to secure your booking on my calendar. The remainder will be due at the time of service.
Session Type

1 Equine Session1 Canine Session2(+) Equine Session2(+) Canine SessionEquine Bundle/ Package (Coupon Code Available)Canine Bundle/ Package (Coupon Code Available)
Schedule the sessions you are seeking here: *
Additional Notes or Special Instructions

Photo & Media Consent
Photo & Media Consent

I give permission for Power of Touch Massage to take photographs or videos of my animal(s) during sessions. I understand these images may be used for educational, marketing, or promotional purposes, including but not limited to social media, websites, and printed materials. I acknowledge that no identifying personal information (such as my name or address) will be shared without my additional consent. I understand that I may withdraw this permission at any time by providing written notice.
Type your full name below giving consent.*

Policies and Procedures
Policies and Procedures
General Policies
Professional Care: Massage therapy is not a substitute for veterinary care. If your horse or dog has an injury, illness, or ongoing medical condition, please consult your veterinarian before booking.
Animal Readiness: Horses should be reasonably clean, dry, and safely haltered/tied. Dogs should be leashed or in a secure area. Please ensure your animal is handled by someone they know and trust during the session.
Session Times: Sessions typically last 45–60 minutes for horses and 30–45 minutes for dogs. Times may vary depending on the animal’s needs and comfort.
Payment: A flat rate of $60 for equine and $40 for canine will be charged today. The remaining Payment is due at the time of service. Cash, check, or approved digital payment methods are accepted.

Travel Policy
No Travel Fee if you bring your horse to my location.
Travel Rates: (Due at the time of your appointment)

15 miles = $5
20 miles = $10
25 miles = $15
30 miles = $20
40 miles = $30
50 miles = $40
60 miles = $50
Travel Fee Waivers

Book 2 horses → up to 30 miles travel fee waived
Book 3 horses → up to 50 miles travel fee waived
Book 4 horses → up to 60 miles travel fee waived

Referral Perk: If you refer a friend in your area and they book, your travel fee will be waived at your next appointment (just like the multiple-horse booking option).

Cancellations & Weather Policy
Client Cancellations: Please provide at least 24 hours’ notice for cancellations. Less than 24 hours’ notice may result in a cancellation fee equal to 50% of the service.
No-Shows: Missed appointments without notice may result in being charged the full session fee.
Weather: I am unable to successfully perform my job on wet animals (rain or snow). Safety comes first. If weather conditions make travel unsafe or if work cannot be properly performed, I reserve the right to cancel and reschedule at no charge.
Rescheduling: If you cancel within the allowed time, your session can be rescheduled without penalty.

✨ My goal is to keep your animal’s comfort and safety as the top priority, while respecting your time and mine. Thank you for your understanding and support of my small business!

Referral Perk
Referral Perk

If you refer a friend in your area and they book, your travel fee will be waived at your next appointment (just like the multiple-horse booking option).
Referral Name
Referral Phone
Please enter a valid phone number.
Referral Email
example@example.com

Checkout

My Products*

Equine Booking FeeA $60 booking fee is required to reserve your equine session. The remaining balance is due at the time of your appointment. Please view the policies and procedures for cancelations/rescheduling.

$60.00 Quantity

Canine Booking FeeA $40 booking fee is required to reserve your canine session. The remaining balance is due at the time of your appointment. Please view the policies and procedures for cancelations/rescheduling.

$40.00 Quantity

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Owner's Signature

Clear
Should be Empty:

Power of Touch Massage Booking Form

Owner Information

Pet One Information

Pet #2 Information

Scheduling

Photo & Media Consent

Policies and Procedures

Referral Perk