Massage Booking Form Name(Required) First Last Phone(Required)Email(Required) Preferred Date? MM slash DD slash YYYY Preferred time? What type of massage would you like to book?45 Minute Massage60 Minute Massage90 Minute Massage60 Minute Hot Stone90 Minute Hot StoneBody And SoleCouples Massage60 Minute Pre-natal Massage90 Minute Pre-natal Massage45 Minute ReflexologyPreferred same room or different room for couples massage? Do you require a receipt for insurance purposes? Yes No What insurance company? We will book you in with the first available therapist, however if there is a strong preference for a male or female therapist please let us know.No preferenceFemaleMale