Appointment Request and New Client Registration for Quezon City
QUEZON CITY
Greenhills Town Center Granada St, Brgy Valencia Quezon City
OPERATING HOURS: 12PM-1AM
Monday to Sunday
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Date and Time Schedule Request
Please note that this is not yet confirmed. Our receptionist will contact you to confirm your request. Full payment in advance is required.
Date of booking *
MM
/
DD
/
YYYY
Time of booking *
Time
:
For how many people would you like to book? *
Full Name
Your First Name *
Your Last Name *
Your Contact Information
Your Mobile Number *
Sample 09151234567
Your Email Address *
Your Instagram/Facebook Name *
What would you like to book?
Duration *
Type of Massage *
Duration
Type of Massage *
If more than 2 pax - Please type their preferred massage and duration
If pregnant, how many months?

Is there anything else about your health history that you think would be useful for your massage therapist/s to know to plan a safe and effective massage session for you? 

Mode of payment *

I understand that the massage I receive is provided for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort during this session, I will immediately inform the therapist. I further understand that massage should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, chiropractor or other qualified medical specialist for any mental or physical ailment that I am aware of. I understand that massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. Because massage should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the therapist updated as to any changes in my medical profile and understand that there shall be no liability on the therapist’s and Khozy Lounge's part should I fail to do so. I understand that any illicit or sexually suggestive remarks or advances made by me will result in the immediate termination of the session and full payment for the scheduled appointment will be required.

 *
Privacy Disclosure Form
At Khozy Lounge, we take your privacy seriously. We are committed to protecting your personal information and complying with all applicable data protection and privacy laws. This privacy disclosure form explains how we collect, use, and disclose your personal information.

Collection of Personal Information We collect personal information from you when you register as a client at our massage spa. The information we collect may include:

Your full name
Your contact information, including phone number and email address
Your address
Your date of birth
Your health information and medical history
Your payment information

Use of Personal Information We use your personal information for the following purposes:

To provide massage therapy services to you
To communicate with you about your appointments, services, and payments
To comply with legal and regulatory requirements
To improve our services and customer experience

Disclosure of Personal Information We may disclose your personal information to the following third parties:

Our massage therapists and other employees who need to access your information to provide you with services.
Our service providers, such as our booking system provider, who process your personal information on our behalf.
Regulatory bodies and law enforcement agencies, if required by law

Protection of Personal Information We take appropriate measures to protect your personal information from unauthorized access, use, and disclosure. We have implemented physical, technical, and administrative safeguards to secure your information.

Retention of Personal Information We retain your personal information for as long as necessary to provide you with services and comply with legal and regulatory requirements.

Your Rights You have the right to access, correct, or delete your personal information that we hold. You can also object to the processing of your personal information or restrict its use. To exercise your rights, please contact us via email.

By registering as a client, you agree to the collection, use, and disclosure of your personal information as described in this privacy disclosure form. If you have any questions or concerns about our privacy practices, please contact us via email.
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