*Life happens - if you can’t make your appointment, please give at least 48 hours’ notice. Please note that cancellations made less than 48 hours before your appointment may be charged in full, as time is reserved especially for you.

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

Which massage offering are you interested in? *

Indian Head Massage

Back, Neck & Shoulders Massage

Hand & Arm and Foot & Leg Massage

Full Body Massage (75 mins)

Full Body Massage (90 mins)

Which Optional Enhancement would you like to add to your massage experience? *

Please note that the scalp massage, hand massage and foot massage are already included in the full body massage treatments. If you would like extra time spent nourishing these areas when booking a full body massage, please book the 90 minutes Full Body Massage and I can tailor the treatment to focus on those areas for you. Please also note that the scalp massage is already included in the Indian Head Massage treatment, but all other enhancements are available for you to add on to this treatment for extra relaxation.

15 minutes Meditation

15 minutes Hand Massage

15 minutes Foot Massage

15 minutes Scalp Massage

No enhancements this time

Preferred Dates and Times *

Please provide the dates and timeframes that work best for you to have your massage treatment, and I will do my best to accommodate!

Is there anything else you would like to share?

How did you hear about You Belong?

Thank you so much for your message request for your massage! I will be in touch within the next 24 hours with some potential dates and times for us to get you booked in for a well-deserved moment of self-care.

Be well,

Mia x

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Circle of Belonging

Join the circle to stay connected and be the first to know when we’ll gather together again, enjoy early access to new offerings, and receive special discounts — including complimentary massages and other nourishing extras. You’ll also get a heartfelt glimpse into what’s unfolding within our circles and coaching journeys.

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Thank you for joining the circle! I hope together we can help you on your path to finding true connection and belonging x

It’s time to treat yourself with a restorative massage!

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