Online Spa Consultation Form

Spa Consultation Form

Please fill out the form.
  • DD
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    MM
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    YYYY
  • Medical Information
    • Please indicate if you are suffering from any of the following
  • Lifestyle
  • Do you wear
    • Please note treatments are not suitable during the first trimester of pregnancy and some treatments are not suitable at all during pregnancy for example Hot Stone Massage
    • I hereby certify that the enclosed is true and correct and that I use the facilities and services at my own risk and do not hold Fota Island Spa or any of its employees responsible. I also understand that I am kindly requested to reschedule my appointment if I am experiencing any flu like or Covid-19 symptoms or if I have been in contact with anyone that has tested positive for Covid-19 in the last 14 days.
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