Professional Massage Therapy

Serenity Massage

Book your path to relaxation and wellness. Use the form below to schedule your next session.

Client Information

Full Name

Phone Number

Email Address

Address

Age

Gender

Session Details

Preferred Date

Preferred Time

Type of Massage

Swedish

Deep Tissue

Sports

Relaxation

Prenatal

Other

Duration

30 Mins

60 Mins

90 Mins

120 Mins

Location

Health Information

Do you have any medical conditions?

No

Yes

Are you pregnant?

No

Yes

Allergies or Injuries?

Special Requests

Focus Areas / Notes

Payment Information

Session Fee

₦

Payment Method

Payment Status

Not Paid

Paid

Safety Verification

Refundable Security Deposit RequiredFor the safety of our therapists, a $1000 security deposit is required. This is 100% refundable immediately after your session.

Deposit Payment Method

Upload Payment Screenshot

Proof of payment is required

Refund Details

Consent & Policy

Cancellation Policy

Please give at least 24 hours notice for cancellations or rescheduling to avoid being charged a cancellation fee.

I confirm that the information provided is correct and I consent to receive massage therapy. I understand that massage therapy is not a substitute for medical examination or diagnosis.

Signature (Type Full Name)

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