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intake form

(A necessary ingredient)

Bow Tie Massage takes pride in making each massage session specific to each of our client's needs. 

In order to do that, you must complete our intake form.  Among other things, the form tells us if anything on your body hurts, what type of pressure you like, if you're on any medications, etc.  This is necessary in order to make sure that you are safe and your massage goes as smoothly as possible.

Additionally, we want to make sure that you've gone over our "Policies" before starting your session.  We also need your meal, dessert and drink order. 

So, please take a moment to complete our intake form by scrolling down to the bottom of this page and filling in each box.  Then click "submit" and it automatically goes to our e-mail.  

Thank you.   

"This form is NOT a reservation formThis is your "Intake Form".  We require this form before beginning each massage session.    

All Spa Party members are required to complete this form and submit it to us at least 24 hours before your spa party.    

Please put the name of the person that referred you here, so that they will get their $5 referral points added to their account.

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A 10% gratuity will be added to all massage sessions & will be due at check out at the front desk. This ensures that all of our employees are paid a fair wage. Several employees will have a hand in making your session a memorable one, (i.e, our receptionists, hostesses, massage therapists & cooks.) Your tip goes to everyone that has contributed towards your session. If you would like to leave an additional tip to recognize outstanding service, just let our receptionist know.

If I arrived late, I understand that my session may have to be cut short or my package changed in order to prevent the delay of other client’s sessions.

This is not a reservation form.

our location

Bow Tie Massage

8050 Dexter Road,

Suite #103,

Cordova, TN 38016

Phone. 901-337-1140

Email. Relax@bowtiemassage.com