Spa Intake Form

To expedite check in, please complete your intake form as promptly as possible, and no later than 24 hours prior to your session. Please read our terms and conditions on our website, and check that you agree to our terms and conditions below. A credit card is put on file and is how we confirm appointments, without a credit card your reservation isn't guaranteed. If you fail to cancel within 24 hours we reserve the right to charge you in whole or in part for your scheduled service. Our time is valuable and this is a small business, our professionals and resources are limited please be courteous. Your card will not be charged unless there is a violation of our booking policy. Complete this form below to confirm your booking.

First name

Last name

Phone

Address

Zip Code

Date of birth

Emergency Contact Name and Number

Do you have any known allergies? If so please indicate below

Do you have any chronic medical conditions that we should be aware of or do you take any medications?

Are you pregnant? If yes please indicate your due date

Have you had any recent surgeries or injuries?

Our detailed booking policy & terms and conditions are available to the public.

Please read the terms and conditions and acknowledge that you have read and understand the terms and conditions prior to submitting this form.

TownB Tranquility Spa LLC

The services provided by TownB Tranquility Spa LLC are intended for relaxation, wellness, and personal care purposes only. Our treatments are not a substitute for medical care and are not intended to diagnose, treat, cure, or prevent any disease or medical condition.

All clients are encouraged to consult a licensed medical professional before beginning any treatment or therapy, especially if they have any known health conditions, are pregnant, or are undergoing medical treatment. Our staff are not licensed medical professionals unless explicitly stated, and no part of our service should be construed as medical advice.

TownB Tranquility Spa LLC and its employees are not liable for any adverse reactions, injuries, or other outcomes resulting from spa services provided, including but not limited to massages, facials, aromatherapy, body treatments, and use of any spa facilities.

By receiving services at TownB Tranquility Spa LLC, clients acknowledge and accept full responsibility for their personal health and well-being, and waive any claims against the spa and its staff for liability or damages.

I read, agree, and understand the terms & conditions publicly listed on https://www.tranquiltownbankspa.com

Signature

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Signature Date

Credit Card Number

Expiration Date

CVV

Zip Code

Name on Card