URS Reservation & Health Check
Please fill-out this reservation form at least one day before your requested appointment.
Same-day reservations will confirmed be at the discretion of URS management.

Declaration:
I hereby authorize Urban Refuge Spa to collect and process the data indicated below for the purpose of effecting control of the COVID-19 infection. I understand that my personal information is protected by the RA 10173, Data Privacy Act of 2012, and that I am required by RA 11459, Bayanihan to Heal as One Act, to provide truthful information.
Email *
Safe Space & Outcall Services
Our new facility in under construction and will be available in August.
For now we have Two Safe spaces to accommodate our customers - Grand Emerald Tower in Ortigas and JPM III in Banahaw st, Mandaluyong.
Have you or someone you’ve been in contact with traveled to an area of concern listed in the attached or been on a cruise in the last 14 days? *
In the last 14 days, have you been in contact with someone with a confirmed diagnosis of COVID-19, or under investigation for COVID-19, or are ill with respiratory illness? *
Do you have signs or symptoms of a respiratory infection, such as fever, cough, shortness of breath, or sore throat? *
Appointment Date *
MM
/
DD
/
YYYY
Appointment Time *
Our services are available from 01 :00 pm to 11:00 pm
Time
:
First & Last Name (Code Name will suffice) *
In line with the Data Privacy Act, please enter a unique "code name" for your first and last name. Please ensure you enter both a a first name and a last name to avoid record duplication.
Contact Number *
Requested Therapist
Available Services *
Service Location *
promo code (optional)
For Outcall service only: Please enter your complete address.
Safety Protocols & other reminders
IMPORTANT:
1. Wear a mask over you nose and mouth in all common areas. Masks are required when you are face-up, and optional (but preferred) when you are face down during your massage.

2. Compulsory Shower: In line with URS' safety protocols, all clients are required to take a shower before their session.

3. Temperature screening of all our guests and a self declaration of No sickness is MANDATORY. If body temp reaches 38°C or above, we will kindly ask you to reschedule your appointment.

4. Tips & Gratuities should only be given at the reception area. For safety & sanitation purposes, our therapists are not authorized to receive/handle cash.

5. For out-call (Home/Hotel) Service, prepare a bottle of alcohol and 2 newly laundered towels.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy