Corporate and Group Event Intake Form

Thank you for choosing RelaxAmerica Massage to service your event! 
We look forward to making it one to remember! 
Please submit the following informational form so we may learn more about your event.
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Full Name:        Email Address:
Best contact number to reach you  Ext
Organization/Company Name Website Address

How did you hear about RelaxAmerica Massage?
What type of event or corporate function are you having?
Date of event

Massage service start time  Massage service end time
 
Event Location What type of location is this?
Street Address City
State Zip Code


The Stress Relief vehicle is 35 feet long, taking up 2 vertical parking spaces or 4 horizontal parking spaces.  If the location is on a hill or to great of an incline, it may be not be suitable for leveling the vehicle.  In this circumstance, please reserve an area close by that is on mostly level ground.  A complimentary initial assessment can be made of your location before the event to ensure vehicle accommodations. Please note assessment requests in the special request box below.  

Is there adequate parking at your event location that can be reserved to accommodate the vehicle?      
Yes No


 Is there access to a regular outdoor power outlet within 50 feet of the location the vehicle will be parked?  (This is not required, but is appreciated and proper cables are utilized.) 
Yes  No
Approximately how many people will be getting massages
What type of massage would you like at your event?

  Clothed Table Massage Chair Massage Other 
How long would you like each massage to be?
How many therapists would you like to service your event?
Quote will be based on number of therapist per hour


Payment Options
Company Pays 100%
Employee Pays 100%
Company Pay 50%  Employee Pays 50%

Please note that all costs are originally covered by the client in charge of the event. 
RelaxAmerica Massage accepts company checks or credit cards for payment.
Rates do not include optional gratuity.
If your event takes place outside of the RelaxAmerica Massage service area, there will be a service charge to cover permits.

Any additional notes or special requests?


 Cancellation Policy
We have a 24 hour per therapist cancellation policy.  If we do not receive advanced notice, then you will be charged half the amount of the event fee and service charge if applicable. If you book it from 24 hours to 1 hour before the scheduled event, there is no cancellation, and you will be charged half the amount of the event fee and service charge. Clients are given a  5 minute grace period for their massage.  Anything beyond 5 minutes will be taken off the time of the massage.    
 
 I Agree I Do Not Agree

 RelaxAmerica Massage will contact you to confirm your event booking and provide you with a quote.  Please call  703.850.8081 with any additional questions you may have.