Name* First Last Phone*Email* Preferred Date* Date Format: MM slash DD slash YYYY Preferred Time : HH MM AM PM Facial Treatments Facial Treatments do not have to be decided at time of booking, unless you are wanting to book a more specific service like microdermabrasion, kinelift, or dermalift. Otherwise you can meet with the esthetician, they can assess your skin and determine which facial would be most suitable for your skin.Facial TreatmentI want a facial treatment and I would like an assessmentI know what facial treatments I wantG.M. Collin Facials Deep Cleansing Facial Botinol Facial Collagen 90-II Facial Oxygen Treatment Sea C Spa Facial Chemical Peel Yonka Facials Le Grande Classique Hydralessence Facial Optimizer Facial Acne Solution Facial Alpha Vital Facial Hot Stone Facial Back Facial Microdermabrasion Facial Treatment Face Only Face and Neck Face, Neck and Décolleté LED Light Therapy Treatments Blue LED treatment for acne Green LED treatment for pigmentation Dermalift - Non Surgical Face Lift Face Only Add Neck and Décolleté Kinelift - Non Surgical Face Lift Face Only Add Neck and Décolleté Microdermabrasion can combined with LED light therapy, and/or Dermalift or Kinelift Microdermabrasion plus Dermalift Microdermabrasion plus Kinelift Microdermabrasion plus blue LED Microdermabrasion plus green LED HAND AND FOOT TREATMENTS HAND AND FOOT TREATMENTS Spa Manicure Spa Pedicure Spa Manicure & Spa Pedicure Spa Manicure & Classic Pedicure Spa Manicure & Shellac Pedicure Classic Manicure Classic Pedicure Classic Manicure & Classic Pedicure Classic Manicure & Spa Pedicure Classic Manicure & Shellac Pedicure Shellac Manicure Shellac Pedicure Shellac Manicure & Shellac Pedicure Shellac Manicure & Classic Pedicure Shellac Manicure & Spa Pedicure Mini Manicure Toe Cure Men's Manicure Men's Pedicure Would you like to upgrade to French Polish ($5)?YesNoWould you like to add a paraffin wax treatment ($15)?YesNoDo you need a Shellac Removal?Yes, I recieved my current shellac through SpalifestyleYes, I recieved my current shellac through another spaNoIf you received a shellac service from another spa and require a removal, please let our staff know at the time of booking. Certain spa’s offer different shellac products which we may not have the tools for, therefore are not able to remove the shellac properly requiring us to book additional time for your service.HAIR REMOVAL & TINTINGHAIR REMOVAL & TINTING Brow Wax Lip Chin Face (brow, lip & chin) Underarm Half Arm Full Arm Half Leg Full Leg Full Leg with Basic Bikini Stomach Basic Bikini Extended Bikini Brazilian Back & Shoulders Chest Brow Tint Lash Tint Men's Brow Tint Massage TherapyRelaxation Massage w/ EstheticianYesNoHot Stone Massage w/ EstheticianYesNoBODY TREATMENTSBody Scrubs & WrapsFull Body ScrubPomegranate & Fig Sea SaltsBrown SugarFull Body WrapTranquility Scrub & WrapSynergystic Scrub & WrapSPA PACKAGES SPA PACKAGESYour EscapeSignature SpalifestyleRejuvenationPamper MeJust for Him Spa PackageCommentsNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.