Wellness Night Registration Form. April 15th 2026 5pm to 8pm
Everyone is welcome!
Location: 4825 Olson Memorial Hwy, Suite 101, Golden Valley, Minnesota 55422
Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Which services are you interested in?
*
Laser Treatments
C02 Laser
Mona Lisa Touch Demo
Body Contouring (LipoCel)
Botox
Facial Fillers
Mini Massages
IV Infusion
Facial Scans
Other
Submit
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