Client Commitment Form

If you’d like to secure a standing appointment and become a committed monthly client, please fill out our Client Commitment Form to reserve your spot.

Name

First Name

Last Name

Phone

(###)

###

####

Are you a new or returning client?

What day of the week works best?

What time of day works best for you?

Address

Please use your physical address where the service will be held.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please share your health history/concerns/goals

Any allergies, medical conditions, or injuries?

Policy Agreement

To reserve your appointment, a $50 non-refundable deposit is required at time of booking (based on approval) and will be applied to your session. Cancellations made 72+ hours in advance may be rescheduled without penalty. Cancellations within 72 hours will forfeit the deposit. Please ensure your space is safe, clean, and ready for service. By booking, you agree to these terms.

Client Commitment Form

ALYSSA LYMAN

Location

Contact