top of page

Debit/Credit Card Form

You're receiving this form because you have selected to have your card charged two days before your session. This will happen at the end of our day, and you will receive a receipt through email every time your card is charged for your session.

If you choose not to go this route, please do not complete the form! If you receive this form in error, please disregard.

Please know that your information will not be shared with anyone and will be password-protected, as your information has always been. 

Upload File
Upload File
bottom of page