Manual Client Appointment Request Form

NOTE: You have chosen to use an alternate form of scheduling that IS NOT instant. If you use this form, I recommend at least 24 hours notice to allow sufficient time for me to respond to this request. If you desire an instant appointment, please utilize the online scheduling system. If you have already accessed the online scheduling system and did not see the date and time that you need as available, that means my schedule is already full during that time.

To use this form to schedule an appointment, complete and submit the form below. Once received, I will respond to you soon, usually within 12 hours.

Your contact information:

First Name

Last Name

Phone

E-mail

I would like to schedule the following session:

1 Hour Swedish Massage ($80)
1.25 Hour Swedish Massage ($100)
1.5 Hour Swedish Massage ($115)
2 Hour Swedish Massage ($150)
2.5 Hour Swedish Massage ($185)

1 Hour Therapeutic Massage ($75)
1.25 Hour Therapeutic Massage ($95)
1.5 Hour Therapeutic Massage ($110)
2 Hour Therapeutic Massage ($145)

1 Hour Sports Massage ($85)
1.25 Hour Sports Massage ($105)
1.5 Hour Sports Massage ($125)
2 Hour Sports Massage ($170)

1.5 Hour Tantra Session ($150)
2 Hour Tantra Session ($200)
2.5 Hour Tantra Session ($250)
3 Hour Tantra Session ($350)

1 Hour Powder Massage ($90)

1 Hour Therapeutic Couples Massage Session ($100)
1.25 Hour Therapeutic Couples Massage Session ($120)
1.5 Hour Therapeutic Couples Massage Session ($135)
2 Hour Therapeutic Couples Massage Session ($170)
2.5 Hour Therapeutic Couples Massage Session ($200)
3 Hour Therapeutic Couples Massage Session ($240)

1.25 Hour Sensual Couples Massage Session ($145)
1.5 Hour Sensual Couples Massage Session ($170)
2 Hour Sensual Couples Massage Session ($220)
2.5 Hour Sensual Couples Massage Session ($270)
3 Hour Sensual Couples Massage Session ($320)

1 Hour BeCuddled Session ($100)
1.25 Hour BeCuddled Session ($125)
1.5 Hour BeCuddled Session ($150)

1 Hour Antera Consultation ($100)

1.25 Hour B.E./Taoist Session ($125)
1.5 Hour B.E./Taoist Session ($150)
2 Hour B.E./Taoist Session ($200)

1 Hour Tailored Session ($150)
1.25 Hour Tailored Session ($185)
1.5 Hour Tailored Session ($225)
2 Hour Tailored Session ($300)
2.5 Hour Tailored Session ($375)
3 Hour Tailored Session ($450)

I would like to add the following services to my appointment:

15-minute guided meditation (incl. in most tantric sessions): Add $15
15-minute powder massage: Add $20
Essential Oils: Add $5
15 Minute Dry Body Brushing: Add $15
Outcall travel with table: Add $50 (Note: outcall availability limited).
Outcall travel without table: Add $30 (Note: outcall availability limited).

I would like to schedule an appointment for the following date and time:

Special requests and/or changes to health status: