BOOKING REQUEST BOOKING REQUEST Name(Required) First Last Email(Required) I would like to bookWellness (Infusions/Injections)Injections & FillersFacial ServiceWeight Loss & DetoxWaxingAdditional ServicesWhich Wellness Treatment?(Required)Breakfast at Tiffany's (Myers' Cocktail)GlutathioneHoly Water ImmunityNADVitamin B12Vitamin DCustom InfusionOther(please select one)Which Weight Loss & Detox(Required)UltraslimInfrared SaunaHalo Therapy Salt Cave(please select one)Which Facial Treatment?Medispa PlatinumMedispa GoldMedispa SilverAquaPeel HydradermabrasionOxygen Detox Skin TreatmentOtherWhich Injection/Filler?Restylane LyftRestylane DefyneRestylane RefyneDysportBotoxThis is my first Red Light Yoga class(Required)YesNoRequested Date & Time (or request first available) Provider Requested Referred by (First time guests only) Consent(Required) I agree to the cancellation policy.Class sizes will be limited to 12 people per class and there will be a wait list. Cancellations must be made at least 6 hours in advance. You will be charged for the class if you do not cancel within the 6 hour window. Thanks for your understanding. LIVE IN GOOD HEALTH WITH BEAUTIFUL SKIN!
