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Service:Foot Scrub add another, change
Staff: Tammy Lutz
Date/time:Thu, May 2 at 4:15 PM (EDT) change

If you are a new client please arrive 10-15 minutes prior to your scheduled appointment time to complete your "New Client" paperwork.   Thank you

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First name*
Last name*
Email**
Phone**
How did you hear about us?
Do you have a Gift Certificate?*
Additional Service: Raindrop, Foot Reflexology or Foot Scrub
Please indicate which service you are adding
* required field
** at least one of these fields is required