Scheduling

for Chillax Therapies & Classes

Memberships can be purchased at the link below. A day pass can be purchased if you select “no” on this form under “Do you have a membership?”

Step 1 of 2

Name(Required)

First Last

Phone(Required)

Email(Required)

Number of People Attending(Required)

Service Selection

Do you have a membership?(Required)

Yes

Paying in Person (No Membership)

Day Pass (How many people are you paying for?)(Required)

Please enter a number from 1 to 100.

Day Pass Total

Price: $0.00

Coupon

Total

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card(Required)

Card Details

Cardholder Name