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A Peaceful Place to Relax & Rejuvenate!

Welcome
- Contact
- Join Our Team
Services
Booking
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- Paying Forward
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Spa Day Guest Info

Complete a separate form for each guest.

First Name

Last Name

Date of Birth

Referred by

Phone

Email Address

City

Region/State/Province

Postal / Zip code

Emergency Contact Name

Relationship

Phone

Are you pregnant?

No

Yes

N/A

Have you received a professional massage before?

No

Yes

Which heat setting are you most comfortable with?

none

low

medium

high

Select your Aroma Therapy

West Indian Lavender

Lavender

Lemongrass

Spearmint

Sweet Almond

Jasmine

Sweet Orange

Sweet Serenity

Deep Relaxation

Do you have allergies or sensitivity to any oils, lotions or scents?

Are there any areas you would like avoided?

List any current health conditions, major injuries, illnesses or medications.

Select your beverage

Tropical Punch

Pineapple Ginger

Sparkling Cider

Ginger Beer (Non Alcohol)

Passion Fruit Mimoas (Non Alcohol)

Champagne (Non Alcohol)

Poppi Prebiotic Soda

I have reviewed and agree to the cancellation policy: Cancellations must made at least 7 days prior to your scheduled Spa Day to receive a service credit. Cancellations made in 5 to 6 days prior to your scheduled Spa Day will be charged 50% of total booked services and the balance towards a service credit. Cancellations made 4 days or less prior to your scheduled Spa Day is considered a no show and will be charged 100% of the booked services. All Spa Day service prepayments are final. We do not issue refunds on Spa Day cancellations or no shows.

I give consent to receive services from Spa Zenlae, LLC. I understand that I will be receiving a service from a licensed professional. I understand the benefits and risks of massage therapy and give my consent to receive therapy/treatment. I will notify the therapist of any questions or concerns immediately. I have provided my complete and accurate health history and will inform the therapist of any changes. I understand that draping will always be used for privacy and warmth. I assume full responsibility for services rendered and release the licensed massage therapist and Spa Zenlae, LLC from any liabilities or damages. I hereby hold harmless and indemnify the therapist, their principals, and agents from all claims and liability whatsoever.

Your Signature

Today's Date

Your form has been sent, thanks!

Welcome
- Contact
- Join Our Team
Services
Booking
Gift Cards
Community
- Wellness Partners
- Paying Forward
More

Use tab to navigate through the menu items.

Call or Text
(813)255-3988

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10329 Cross Creek Blvd.

Suite N

Tampa, FL 33647

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Signature Couples Massage
12/9/23 3pm-8pm

Call or Text
(813)255-3988

10329 Cross Creek Blvd. Suite N

Tampa, FL 33647

Follow Us:

Lic. #MM42093

Locally owned
& operated!

Extended Hours
Coming Soon!

Hours by Appointment
Tuesday 9am-2pm
Thursday 9am-2pm
Friday 9am -2pm
Saturday 9am-2pm
Sunday 11am-4pm (Events)

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© 2023 Spa Zenlae, LLC

All Rights Reserved.

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