Carina's Magic Spa Calendar

First Name *

Last Name *

Phone *

Age *

Email *

City *

Occupation *

Ethnicity *

Relationship Status *

Your Birthday *

Your Best Social Media Link *

Please share your comments, areas of interest, feedback, and special requests. *

Best Photo *

Affirmation *

I affirm & agree that as a new guest, under no circumstances am I allowed to cancel or reschedule once I set an appointment. I understand that a 50% nonrefundable deposit is required when I select a time on the calendar to confirm.

Confirmation *

I agree to be sober during appointments & follow instructions so that I am properly prepared to maximize the benefits of our time.

( PLEASE SIGN ) I Understand that Healing with Carina Cariñosa and choosing to work with The Carina Carinosa Foundation is a voluntary practice for which it stand free from all liability. I agree to participate at my own risk & agree to use my own best judgement, and be my own best advocate. I will speak to the administrator directly first if I have any questions or feel uncomfortable about proposals, suggestions, protocals, or referrals. I understand that when it comes to safety from any possible injuries or side effects that could possibly occur while receiving care from this provider, staff, volunteers, contractors, or referrals, I will discuss and share my concerns. I agree to remain honest about my true identity including, but not limited to: birth name; my true background such as resume, financial, social, & relationship history; remain respectful of objects in the providers' place of work should we conduct in-person meetings. *

Clear

The Carina Carinosa Foundation