Unwind Appointment Confirmation

Tell us your first and last name.* This field is required.

Phone/Text Number

Please enter a valid phone number.

example@example.com

What is the date of your scheduled appointment?* This field is required.Please enter the date of your appointment. This helps us match your form submission to your scheduled session.

Date

What time is your scheduled appointment?* This field is required.

Hour

Minutes

Please print, complete, and bring the New Client Intake form with you to your appointment. This ensures we can dedicate the maximum time to your massage.

This downloadable form is in addition to completing this confirmation form for your appointments.

We will also have a pritned copy of this form for you, just in case. Please do not email a digital version of this form to us.

Here is the full link, if you prefer to copy/paste it into your browser: https://drive.proton.me/urls/1P7VW223N4#pHs0zkEdweTI

Have there been any updates to your health since you last completed the intake form? If yes, please provide details below. You may leave this blank if there are no updates to your health.

KATMPlease SCROLL, read carefully, and check EACH box confirm all TEN of the following items:

Choose Up to Two:

Full Body Ceremony

Focus Areas Only

CBD Oil

Warm Salt Stones

Moving Cups // Sports

Lightest Touch // Energy Work (Craniosacral style)

Choose your playlist:* This field is required.SCROLL DOWN for more options.

Receiving Care - women lineage mix

Music for Plants - electronic sounds celebrating nature

Growing and Change - dynamic sounds

African Moon - eclectic diaspora collaborations

Sunday Morning - dreamscapes and spirit

Modern Central/South American Ceremony

Tibet and Beyond - chants, gongs, chimes

Water Songs - inspired by water in many forms

Beginner’s Body - relaxing Savasana

No Pots or Pans - sensory friendly mix

Bring my own

Other

How would you like to complete your pre-payment?* This field is required.

Health Savings Account / Flexible Savings Account

Gift Certificate

Card

Check

Please enter the certificate information below.

Certificate Number

Certificate Value

Expiration Date

Trip Fee

I have my own table ($0)

Back-to-back clients in one location ($0)

Alameda ($20)

Contra Costa ($25)

Marin ($30)

Napa ($35)

San Mateo ($30)

Santa Clara ($40)

Solano ($40)

Sonoma ($45)

San Francisco ($50)

The Shack ($0)

Payment CalculationOur means based sliding scale is available on prior agreement ONLY. Visit bookunwind.com/#pricing for fee information.

Session Fee

Total

I will have my check written and ready before the appointment.We strongly prefer payment before we set up.

YESNO

Payment Amount

Description

USD

+ OR enter a custom value

Debit or Credit Card

Gentle Reminder

Cancellation Policy: 50% cancelation fee if less than 24 hours notice. 100% cancelation fee for no-shows.

Unwind Appointment Confirmation