Free Spa Registration Form Template

Spa Registration Form

Please complete this form to help us personalize your spa experience and address any health considerations.

Name

    Date of Birth

      Phone number

        Email

          Do you have any allergies?

          If yes, please specify:

            Current Medications

              Any Medical Conditions?

              e.g., high blood pressure, skin conditions

                Areas of Concern

                e.g., back pain, skin type

                  Treatment Preferences

                  Preferred Spa Services

                    • Massage Therapy (e.g., Swedish, deep tissue, hot stone)

                    • Facial Treatments (e.g., anti-aging, hydrating, exfoliating)

                    • Body Treatments (e.g., body wraps, scrubs, detox)

                    • Aromatherapy (e.g., relaxing essential oils, stress relief)

                    • Manicure and Pedicure

                    • Hair and Scalp Treatments

                    Are you interested in any specific add-on treatments?

                      Signature

                      I confirm that the information provided is accurate and up-to-date.

                      Name:

                      Date:

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