Dot Party Form

Yes! I’m ready to rejuvenate. Let’s get this party started!!

Just need to get a little quick and painless info. Please fill out this short form to get things moving.

Squad or Hibachi Form

Name

First

Last

What would you like us to call you?

Best contact/text number:

Email (the one you check most often):

City

State

What services are you interested in?

How did you hear about me?

If referred by a person, please tell me their name so I can thank them 😊

Invest in Your Skin