Waiting List

Thanks for your interest in our therapeutic massage services. You may see our current availability for our therapists from our ONLINE BOOKING PAGE.

Our Waiting List is reserved for those who have completed a booking from our booking site. Please complete a booking first, then return to complete the form below. Once completed, and you have a confirmed appointment, your information will be added to our Waiting List.

We will contact you if there are any cancellations or changes to our schedules. Please understand that we may not be able to reach out to you prior to your confirmed appointment.

Thank you.

Waiting List

Full Name

First

Last

Email Address*

Phone Number*

providing us with your cell phone number may be easier for us to reach you rather then your office number.

Best way to contact you*

hold "Shift Key" when clicking to select multiple options

Licensed Massage & Bodywork Therapist*

choose one of the above options

Service*

choose one service for your request. Upon arrival, your therapist will discuss your choices to provide you the best therapeutic treatment.

Service length*

hold "Shift Key" when clicking to select multiple options

Days of Week*

select all days that apply to your availability

hold "Shift Key" then click, or long press a day then touch additional days, to select multiple days

Beginning Time Range of Starting Your Service*

select a start time

choose the earliest start time you would be able to make your appointment

End Time Range of Starting Your Service*

select a start time

choose the latest start time you would be able to make your appointment

Additional Information (not required)

list conditions to be treated during your session

Please type the characters*

This helps us prevent spam, thank you.

This field should be left blank

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Appointment Waiting List

Waiting List

Waiting List

Title