Vacation Vibes 2

Confidential Client History Form

    At Coconut Village Spa, we are not a factory-like nail shop. We are intentional about your wellness and care. Therefore, no client will be served without a completed intake form. This form protects you and provides us with the necessary information to ensure you receive the best experience and service possible.
  • an optional question so we can send you a thank you birthday gift
  • If referred by a friend, family, or another business, please mention their names so we can appreciate them.
    At Coconut Village Spa, we are not a factory-like nail shop. We are intentional about your wellness and care. Therefore, these health-related questions protect you and provide us with the necessary information to ensure you receive the best experience and service possible.
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    We are a lively musical spa, offering a diverse range of music including Reggae, Souls, Gospel, Saxophone, Motown, & R&B. To ensure your comfort, please select your preferred music from the options below. If no selection is made, we will assume you are happy with whatever is playing. Enjoy!
    If you’ve booked our Coconut Cove Pedicure, please select all that apply so we can create your spa experience. Or upgrade your Coconut Cove Pedicure $25 more
  • Masks are no longer required; however, upon a client’s request, we will accommodate our clients’ comfort. Please use this section to let our staff know if you’d prefer that a mask is used during your service and for any other must-know details to enhance your experience.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.