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Seniors Client Information & Consent Form

Please read and fill out and submit form.

The information is collected for the use of the staff of Diana’s Divine Escape and is never shared with 3rd parties unless it is a medical emergency.

We provide Regular Pedicures, Manicures, Advanced Pedicures, Toenail & Fingernail Cutting. As well as Facials and Waxing. Hair Services are now available!

Hair Services are NOW Available! 

These services and prices are for Seniors and those who are ill or immobile,

Taxes are included. 

Parking fee may apply.

Please select all the Seniors service(s) wanted below:

Please check travel fee box below.

Thanks for submitting!

Diana will contact you soon to book the appointment

Client Information & Consent Form

Please read and fill out and submit form.

The information is collected for the use of the staff of Diana’s Divine Escape and is never shared with 3rd parties unless it is a medical emergency.

We provide Regular Pedicures, Manicures, Advanced Pedicures, Toenail & Fingernail Cutting. As well as Facials and Waxing. Hair Services are now available!

Hair Services are NOW Available! 

These services are now for all ages who just want to have some pampering and relaxation.

Taxes are included. 

Parking fee may apply.

Please select all the service(s) wanted below:

Please check travel fee box below.

Thanks for submitting!

Diana will contact you soon to book the appointment

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