New Client Intake

Please fill out the following form to be considered for membership as a new client. All information is kept confidential.

First name

Last name

Email

Phone

Date of birth

Month

Day

Year

Have you seen us in the past?

No

Yes

What services are you interested in? Choose as many as you like!

Skin Care

Massage

Hair Removal

Nail Care

If there is any additional information that will help us process the application, please let us know!

Signature

I declare that the info I’ve provided is accurate and complete. I also agree to follow any Beauty Evoke LLC policies. Click Here to view.

Tara Marie LMT