ENERGY WORK FORM



*
*
*
*  )  – 
*
*

*
*
*
*
*
*
*
*
*

*
*
 )  – 
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*













*
*By filling out this form electronically I hereby declare that all information is accurate and if it should change it is my responsibility to notify the therapist. I also hereby declare that Seventh Wonder Day Spa is not held liable for a customers failure to follow all after care procedures recommended for treatments.