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Spa Reservation
Spa Reservation Request Form
This request is not guaranteed. A spa coordinator will be in contact with you to confirm your reservation.
*
All fields must be filled in/completed.
Personal Information
*
First Name:
*
Last Name:
Address:
City:
State/Province:
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N/A
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Zip/Postal Code:
Country:
UNITED STATES
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AFGHANISTAN
ALBANIA
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AMERICAN SAMOA
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ANGOLA
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ANTARCTICA
ANTIGUA AND BARBUDA
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ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
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BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (local name: Hrvatska)
CUBA
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ECUADOR
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ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRANCE, METROPOLITAN
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
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GEORGIA
GERMANY
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GREENLAND
GRENADA
GUADELOUPE
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GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MC DONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
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ICELAND
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IRAQ
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ISRAEL
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MONACO
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OMAN
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SUDAN
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SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
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TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
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TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
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*
Phone Number:
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Email Address:
Treatment Request Information
Signature Rituals:
Select a Treatment
Hypnotic Massage (80 min)
UltraLuxe Facial (80 min)
Sento Body Ritual (80 min)
Thai Bolus (50 min)
Shimmer
Facial Treatments:
Select a Treatment
Cleanse (50 min)
Quench (80 min)
Purify (80 min)
Bright (80 min)
Youth (50 min)
Express (25 min)
Back (50 min)
Smooth (50 min)
Massage:
Select a Treatment
Calm (50 min)
Calm (80 min)
Stone (50 min)
Stone (80 min)
Sport (50 min)
Sport (80 min)
Aroma (50 min)
Aroma (80 min)
Four X Two (50 min)
Four X Two (80 min)
Joy (50 min)
Express Massage (25 min)
Body Rituals:
Select a Treatment
Hamman (110 min) - includes 50 min massage
Flower (110 min) - includes 50 min massage
Slim (50 min)
Refresh (80 min)
Firm (50 min)
Essence (30 min)
Essence (50 min) - includes 25 min hydrating massage
Escape Specialty Treatments:
Select a Treatment
Bejeweled (110 min)
Wave (110 min)
Tone (110 min)
Pure (110 min)
Repair (80 min)
Manicures:
Select a Treatment
Harmony (40 Min) Manicure
Drench (50 Min) Manicure
Indulge (70 Min) Manicure
Express (25 Min) Manicure
Player (40 Min) Manicure
Pedicures:
Select a Treatment
Harmony (50 Min) Pedicure
Drench (60 Min) Pedicure
Indulge (80 Min) Pedicure
Express (25 Min) Pedicure
Player (50 Min) Pedicure
Reflect Perfect Face:
Select Type
Makeup Application
Makeup Lesson
Bridal or Event Makeup Package (includes trial and day-of application)
Waxing:
Brow, lip or chin
Bikini Line
Underarm
Arm
Half leg
Full leg
Back
Neck, shoulders
Chest
Tinting:
Select Type
Eyelashes
Eyebrows
Eyelashes and brows
Immersion Soak:
Select a Treatment
Minerals (25 min)
Retreat (25 min)
Healing (25 min)
Express Services:
Select a Treatment
Express Massage (25 min)
Express Facial (25 min)
Express Manicure (25 min)
Express Pedicure (25 min)
Dwell Spa Journeys:
Select a Treatment
Earth - allow 4 hours
Metal - allow 3.5 hours for men
Water - allow 5 hours
Fire - allow 5.5 hours
Wood - allow 3 hours per couple
Emperor Men's Spa:
Select a Treatment
Smooth (50 min)
Repair (80 min)
Player (40 min) Manicure
Player (50 min) Pedicure
*
Spa Visit Date:
Appointment times available:
Monday
Closed
Tuesday - Saturday
8am - 8pm
Sunday
8am - 6pm
*
Desired Appointment Time:
1
2
3
4
5
6
7
8
9
10
11
12
00
30
am
pm
Gender of Therapist Preferred:
Male
Female
*
This Service is for:
Self
Other
Name:
Comments:
Hours of Operation
Tuesday - Saturday
8am - 8pm
Sunday
8am - 4pm
Information and Reservations
Call 313.465.1656.
Group Reservations
For group reservations of 5 or more, including spa parties and special events, call 313.465.1656.
*Group reservations include 5 or more people which all will receive 50, 80, or 110 min services with the exception of waxing, baths, and add-ons.
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