Awakening Spa Massage Form - Anderson Ocean Club and Spa

Kindly arrive 15 minutes prior to your appointment time.

Please silence all electronic devices and refrain from holding phone conversations. , we appreciate you using your spa voice while visiting our facility.

Parking is available in the Hilton parking garage one block from the hotel.

If you are experiencing any Covid-19 symptoms, or have been in contact with persons with the virus in the past 14 days, please cancel your appointment.

Contact Info

Name*

First Last

Phone*

Email*

Tell us about yourself

Birth Date*

Are you visiting or do you live locally?*

I am a local
I am a visitor

Have you visited Awakening Spa before?*

I am a returning guest
This is my first visit

Have you ever experienced a spa treatment before?*

Yes
No

How did you hear about us?

Medical History

Please list any allergies and the reactions you've had:*

Please list current medications:*

Do you have any of these health conditions? (Please select all that apply.)*

Do you have any other medical conditions we should be aware of? If so, please explain:

Are you pregnant? If so, how many months along are you?*

Do you have any sunburn? If so, please describe where:

Optional Upgrades

Would you like to add any of the following enhancements to your service? (Please select as many as you wish. Additional cost will apply.)

Aroma Therapy w/Take Home Oil ($15)
Foot Masque($15)
Scalp Massage ($15)
Bio Freeze ($10)
Paraffin ($15)
Hot Stone ($35)

If time allows, would you like to add any of these additional treatments? (Please select as many as you wish. Additional cost will apply.)

Facial
Body Treatment
Waxing

Important Notes

Please silence all electronic devices and refrain from holding phone conversations. We appreciate you using your spa voice while visiting our facility.

By clicking "Submit" below, you declare that all information provided on this form is complete and true to the best of your knowledge. Also, you understand and agree to release Awakening Spa and their respective officers, directors, shareholders and employees and waive any and all claims, liabilities, or damages for personal injuries that you may experience directly or indirectly from receiving spa related treatments, or utilizing the spa facilities.

Email

This field is for validation purposes and should be left unchanged.

Awakening Spa Massage Health History Form

Contact Info

Tell us about yourself

Medical History

Optional Upgrades

Important Notes