Indian Head Massage Booking Form

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Indian Head Massage
Blog; A Sceptical Spiritualist
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Home
Reiki
Indian Head Massage
Blog; A Sceptical Spiritualist
Guide to Self Massage - Download
Gift Vouchers
About
- Contact

Your First Name*

Your Surname*

Your Email Address*

Your Mobile Number*

Your Address*

Select Treatment Option*

Indian Head Massage

Combined Indian Head Massage & Reiki

Select Location*

Pevensey Bay (please note this location has a cat so please select Eastbourne if you have allergies).

Eastbourne Town Centre (The Labyrinth, Marks Lane) - £10 surcharge applies at this location.

Eastbourne Town Centre (Foundry, The Beacon) - £10 surcharge applies at this location

What are you seeking healing for right now?*

I have read the contraindications and agree that I have made my practitioner aware of any medical conditions which may impact on my treatment and have sought medical advise if required.*

Agree

Disagree

I have read and agree to A Little Calmer's Consent Form*

Agree

Disagree

I agree to pay a deposit to confirm my booking*

Paid

To be paid

Gift Voucher

Indian Head Massage Booking Form

Payment Details for BACS

Name: A Little Calmer

Sort Code: 04-03-33

Account Number: 59963359

Please ensure you read and agree to the relevant consent form information below including completing the contra indications form.

PLEASE READ - Client Consent Form - Indian Head Massage

claire@alittlecalmer.com

07590 839312

Indian Head Massage Booking Form

Payment Details for BACS

Name: A Little Calmer

Sort Code: 04-03-33

Account Number: 59963359

PLEASE READ - Client Consent Form - Indian Head Massage

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