"Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around." Leo F. Buscaglia



 

Please note that by completing this form you are making an appointment request. Once your reservation request has been received, we will contact you, via telephone and/or email, within 24 business hours to provide a confirmed reservation. Please note that if you have not heard back from us by telephone and/or email, you are not automatically reserved for your requested service(s).

All appointments for services require a 24 hour notice for cancellation, or the service's full fee will be charged.

Contact Information:
Name:
Email:
Phone:
Address:
City:
State:   Zip

Request Information:
First Choice of Request:    Date:
First Choice of Request:    Time:

Request Information:
Second Choice of Request: Date:
Second Choice of Request: Time:

Service(s) Requested:
Massage & Body Services:
    30 minute Swedish, Therapeutic, Deep Tissue session
    60 minute Swedish, Therapeutic, Deep Tissue session
    90 minute Swedish, Therapeutic, Deep Tissue session
    Pregnancy Massage
    Hot Stone Therapy
    Baby Massage
    Seated Chair Massage

Energy and Body Services:
    Reiki
    Bach Flower Consultation
 
  
 

© Copyright 2008 Circle of Life Massage and Wellness Center
Porch and Rail Shoppes • Ephrata, PA 17522 • 717-335-2338