Appointment Request Form ➡ Don't forget to fill out the intake form here ⬅ Name * First Name Last Name Phone * (###) ### #### Email * Guest Status: * New Guest - not from area New Guest - Local La Tourelle Hotel Guest Firelight Camps Guest Other Zip Code * Date Requested * MM DD YYYY Time Requested * Morning (8a-12p Afternoon (12p-4p) Evening (4p-8p) Who are you booking for? * Myself 2 people - separate rooms 2 people - couples room 2-5 people More than 5 people If booking for additional people, please provide their full names: Indicate what services you are interested in receiving: 60 min massage 90 min massage Couples massage 60 min facial 90 min facial 60 min body scrub 90 min body scrub 60 min detox wrap 90 min detox wrap 60 min reiki Hair removal service Multiple services If booking for multiple services or hair removal, please list desired services Requested additional enhancements for MASSAGE services (does NOT extend length of service): Dynamic Cupping - $20 Sore Muscle Salve - $15 Local CBD Oil - $5 Full Body Brushing - $15 Collagen Eye Treatment - $10 Hot Stones - $25 Ecofin Treatment- $20-$35 Requested additional enhancements for MASSAGE services (EXTENDS service time): 15 min Acupressure - $30 15 min Neck & Shoulders - $30 15 min Exfoliating Back Scrub - $35 30 Min Reflexology - $30 30 min Timeless Toes Foot Focus- $70 15 Min Sinus & Headache - $35 Requested additional enhancements for FACIAL services (does NOT extend length of service): Enzyme Treatment - $10 Circadia Peel - $15 Dry Skin Mask - $10 Eye or Lip Collagen Treatment - $15 Brow or Lip Wax - $15 Oxygen Facial - $30 Requested additional enhancements for FACIAL services (EXTENDS service time): 15 min Acupressure - $30 15 min Cold Stone Therapy - $25 35 min Peptide Treatment - $35 30 Min Herbal Poultice - $70 30 min Timeless Toes Foot Focus- $70 Specific professional requested: Treatment profession-gender preference * No preference Female only Male only Prefer female BUT comfortable with male Prefer male BUT comfortable with female Questions? BOOKING CONSENT * I understand that this form does not secure my appointment and a guest services professional will reach out after reviewing my request to help complete my booking. * I understand as the primary booker I am responsible for all services booked including those being booked by me for other guests. * I have read and understand the cancellation and rescheduling policies associated with booking my service. (https://www.augustmoonspa.com/policies). * I consent to having this website store my submitted information so they can respond to my enquiry. * Thank you! Someone will contact you soon!
