Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Service *

MM

DD

YYYY

Time of Service *

Hour

Minute

Second

AM PM

I am interested in: *

Group Booking

Home Nail Services

Make Up Services

Hair Services

Lash Services

Facial

Champagne Tasting

Memberships

Private Yoga

Other

If you chose nails please let us know what services you require (there is a minimum of 2 nail services per booking):

A gel (shellac) mani & regular pedi

A gel (shellac) mani & gel (shellac) pedi

A regular mani & regular pedi

Après Gel X nails & regular pedi

Après Gel X nails & gel (shellac) pedi

Gel fill & regular pedi

Gel fill & gel (shellac) pedi

Other

How did you hear about us? *

Google

Instagram/Social Media

Event

Referral

Other