Become a Client

First name

Last name

Phone

Birthday

Month

Day

Year

If selected Referral or Other, provide their name or details. If none, type N/A.

What are your main goals or concerns you'd like to address in our sessions?

Preferred days/times for sessions?

Anything else you'd like me to know?

I understand Barefoot Fusion Bodywork has a ZERO TOLERANCE Policy. Inapproproate or lewd behavior or solicitation will result in immediate termination of the session without refund and may be reported to the NV State Board and authorities. Mutual respect is required at all times.

I understand Barefoot Fusion Bodywork has a 24-hour cancellation policy. Late cancellations or no-shows will be charged in full, and sessions are non-refundable.