R Reservation Request FormLa Pure Waikiki Spa & Cafe This form is for reservation requests only. Your booking is not confirmed until you receive a confirmation from us. Please submit your request at least 3 days in advance. For same-day or short-notice bookings, please call us directly at 808-924-9503. We will contact you to confirm availability before your visit. Please wait for our confirmation before coming in. <div style=\"background-color:#eeece6; border:1px solid #c8bfa8; border-left:4px solid #8b6914; padding:10px 16px; font-family:-apple-system, BlinkMacSystemFont, \'Segoe UI\', Arial, sans-serif; font-size:14px; line-height:1.3; color:#3a2e1a; max-width:820px; margin:0 auto;\"><br /> <p style=\"margin:0 0 6px; font-size:14px; line-height:1.3;\">This form is for <strong>reservation requests only</strong>. Your booking is not confirmed until you receive a confirmation from us. Please submit your request <strong>at least 3 days in advance</strong>. For same-day or short-notice bookings, please call us directly at <strong>808-924-9503</strong>. We will contact you to confirm availability before your visit.</p><br /> <p style=\"margin:0; font-size:14px; line-height:1.3; color:#7a4a00; font-weight:bold;\">Please wait for our confirmation before coming in.</p><br /> </div><div style=\"background-color:#eeece6; border:1px solid #c8bfa8; border-left:4px solid #8b6914; padding:10px 16px; font-family:-apple-system, BlinkMacSystemFont, \'Segoe UI\', Arial, sans-serif; font-size:14px; line-height:1.3; color:#3a2e1a; max-width:820px; margin:0 auto;\"><br /> <p style=\"margin:0 0 6px; font-size:14px; line-height:1.3;\">This form is for <strong>reservation requests only</strong>. Your booking is not confirmed until you receive a confirmation from us. Please submit your request <strong>at least 3 days in advance</strong>. For same-day or short-notice bookings, please call us directly at <strong>808-924-9503</strong>. We will contact you to confirm availability before your visit.</p><br /> <p style=\"margin:0; font-size:14px; line-height:1.3; color:#7a4a00; font-weight:bold;\">Please wait for our confirmation before coming in.</p><br /> </div>Field is required!Field is required!1 : Representative InformationFirst NameYour First NameField is required!Field is required!Last Name Your Last NameField is required!Field is required!E-mail Your E-mail AddressField is required!Field is required!2. Preferred Date & Time (Up to 3 Choices)Please select a date at least 3 days from today. Available times are 9:00 AM - 8:30 PM (every 30 minutes).1st Choice Date:- Select a date -Field is required!Field is required!1st Choice Time :- Select time - 9:15 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM- Select time - Field is required!Field is required!2st Choice Date:- Select a date -Field is required!Field is required!2nd Choice time :- Select time - 9:15 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM- Select time - Field is required!Field is required!3rd Choice Date:- Select a date -Field is required!Field is required!3rd Choice Time :- Select time - 9:15 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM- Select time - Field is required!Field is required!3. Number of GuestsFor groups of 6 or more, please contact us directly at info@lapurewaikiki.com.Number of Guests - select a option -1 Guest2 Guests3 Guests4 Guests5 Guests- select a option -Field is required!Field is required!Guest 1Primary Guest InformationGuest Name 01 ( First Name / Last Name) :Field is required!Field is required!4. Service RequestPlease select your desired service(Guest1) Body MassageFacialsNailsSpecial Combination PackageWaxing Lash lift & Brow LaminationField is required!Field is required!Special Combination PackageFacial + Massage Couple Massage Facial + Pedicure Field is required!Field is required!Facial + MassageTreatment DurationFacial & Massage30 min each 60 min eachField is required!Field is required!Select Your Facial TreatmentFacial & MassageLa Pure Signature Facial Anti-aging Facial Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Jelly MaskDr. Serum VENUS MICRO CURRENT MaskEye Treatment Luxury Sheet MaskRed/Bule Light TherapyChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"Facials_Choice_1","logic":"equal","value":"Nano","and_method":"or","field_and":"Facials_Choice_1","logic_and":"equal","value_and":"Royal Glow "}]Field is required!Field is required!Select Your Massage TreatmentFacial & MassageHawaiian Lomi Lomi MassageSwedish MassageDeep Tissue MassageSwedish MassageDry MassageCustomized Combination MassageIntensive Foot Reflexology Field is required!Field is required![{"field":"Combi_1","logic":"equal","value":"FM","and_method":"","field_and":"","logic_and":"","value_and":""}]Couple Massage*If you select a Couples Massage, please choose 2 guests. Each guest may select their preferred massage treatment.Treatment DurationCouple Massage 60 min90 minField is required!Field is required!Select Your Massage TreatmentCouple MassageHawaiian Lomi Lomi MassageSwedish MassageDeep Tissue MassageSwedish MassageDry MassageCustomized Combination MassageIntensive Foot Reflexology Field is required!Field is required![{"field":"Combi_1","logic":"equal","value":"Couple","and_method":"","field_and":"","logic_and":"","value_and":""}]Facial + Pedicure Facial Treatment DurationFacial + Pedicure 30 min Facial60 min Facial90 min FacialField is required!Field is required!Select Your Facial TreatmentFacial + Pedicure La Pure Signature Facial Anti-aging Facial[{"field":"{Combi_FP_Duration_1}","logic":"equal","value":"30 min","and_method":"or","field_and":"{Combi_FP_Duration_1}","logic_and":"equal","value_and":"60 min"}]Field is required!Field is required!Select Your Facial TreatmentFacial + Pedicure Nano Infusion Advance Anti-ageing FacialThe Royal Glow Facial [{"field":"{Combi_FP_Duration_1}","logic":"equal","value":"90 min","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Jelly MaskDr. Serum VENUS MICRO CURRENT MaskEye Treatment Luxury Sheet MaskRed/Bule Light TherapyChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"Combi_FP_Duration_1","logic":"equal","value":"30 min","and_method":"or","field_and":"Combi_FP_Duration_1","logic_and":"equal","value_and":"60 min"}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Dr. Serum VENUS MICRO CURRENT MaskEye Treatment Luxury Sheet MaskChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"Combi_FP_Type90_1","logic":"equal","value":"Nano","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Jelly MaskEye Treatment Luxury Sheet MaskChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"Combi_FP_Type90_1","logic":"equal","value":"Glow","and_method":"or","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!PedicureFacial + Pedicure Express PedicureAloha Classic PedicureAroma Spa PedicureSteam Deluxe PedicureField is required!Field is required!Add-onWithout Gel PolishAdd Gel PolishNeed Gel RemovalAdd Nail ArtField is required!Field is required!Please describe what needs to be fixed or your desired DesignPlease send an image of your desired design to: lapurewaikiki@gmail.com[{"field":"Combi_FP_Pedi_addon_1","logic":"contains","value":"Need Gel Extension Fix","and_method":"or","field_and":"Combi_FP_Pedi_addon_1","logic_and":"contains","value_and":"Add Nail Art"}]Field is required!Field is required![{"field":"Combi_1","logic":"equal","value":"FP","and_method":"","field_and":"","logic_and":"","value_and":""}][{"field":"Guest_Service_1","logic":"equal","value":"Combination","and_method":"","field_and":"","logic_and":"","value_and":""}]Nails Which service would you like?ManicurePedicureCombo (Manicure & Pedicure)Gel ExtensionEnhancement removal ONLYField is required!Field is required!ManicureSelect Your TreatmentExpress ManicureAloha Classic Manicure Aroma Spa ManicureSteam Deluxe Manicure Field is required!Field is required!Add-onWithout Gel PolishAdd Gel PolishNeed Gel RemovalNeed Gel Extension FixAdd Nail ArtField is required!Field is required!Please describe what needs to be fixed or your desired DesignPlease send an image of your desired design to: lapurewaikiki@gmail.com[{"field":"{Mani_addon_1}","logic":"contains","value":"Need Gel Extension Fix","and_method":"or","field_and":"{Mani_addon_1}","logic_and":"contains","value_and":"Add Nail Art"}]Field is required!Field is required![{"field":"{Nail_Main_Menu_1}","logic":"equal","value":"Manicure","and_method":"or","field_and":"","logic_and":"","value_and":""}]PedicureSelect Your TreatmentExpress PedicureAloha Classic PedicureAroma Spa PedicureSteam Deluxe PedicureField is required!Field is required!Add-onWithout Gel PolishAdd Gel PolishNeed Gel RemovalAdd Nail ArtField is required!Field is required!Please describe what needs to be fixed or your desired DesignPlease send an image of your desired design to: lapurewaikiki@gmail.com[{"field":"Pedi_addon_1","logic":"contains","value":"Need Gel Extension Fix","and_method":"or","field_and":"Pedi_addon_1","logic_and":"contains","value_and":"Add Nail Art"}]Field is required!Field is required![{"field":"Nail_Main_Menu_1","logic":"equal","value":"Pedicure","and_method":"","field_and":"","logic_and":"","value_and":""}]Combo (Manicure & Pedicure)[{"field":"Nail_Main_Menu_1","logic":"equal","value":"Combo","and_method":"","field_and":"","logic_and":"","value_and":""}]Express ComboAloha Classic ComboAroma Spa ComboSteam Deluxe ComboField is required!Field is required!Add-onWithout Gel PolishAdd Gel Polish for HandAdd Gel Polish for ToeAdd Gel Polish for Hand & ToeNo need for removalNeed gel removal from handNeed gel removal from toeNeed gel removal from hand & toeNeed Extension FixAdd Nail ArtField is required!Field is required!Please describe what needs to be fixed or your desired DesignPlease send an image of your desired design to: lapurewaikiki@gmail.com[{"field":"{Combo_addon_1}","logic":"contains","value":"Need Extension Fix","and_method":"or","field_and":"{Combo_addon_1}","logic_and":"contains","value_and":"Add Nail Art"}]Field is required!Field is required![{"field":"{Nail_Main_Menu_1}","logic":"equal","value":"Combo","and_method":"","field_and":"","logic_and":"","value_and":""}]Enhancement removal ONLYRemove :Remove GelRemove AcrylicField is required!Field is required!Type :Overlay removalExtension removalField is required!Field is required![{"field":"Nail_Main_Menu_1","logic":"equal","value":"Enhancement removal ONLY","and_method":"","field_and":"","logic_and":"","value_and":""}]Gel ExtensionExtension short Extension Long (extended more than your natural nail bed)Gel Fills (ONLY original set from us) Field is required!Field is required!Add-onNeed previous gel removalDeed Dry CareAdd Nail Art[{"field":"{Gel_Extension_1}","logic":"equal","value":"Extension short ","and_method":"or","field_and":"{Gel_Extension_1}","logic_and":"equal","value_and":"Extension Long"}]Field is required!Field is required!Please let us know your desired designPlease send an image of your desired design to: lapurewaikiki@gmail.com[{"field":"Combo_addon_1","logic":"contains","value":"Need Extension Fix","and_method":"or","field_and":"Combo_addon_1","logic_and":"contains","value_and":"Add Nail Art"}]Field is required!Field is required![{"field":"Nail_Main_Menu_1","logic":"equal","value":"Gel Extension","and_method":"","field_and":"","logic_and":"","value_and":""}][{"field":"Guest_Service_1","logic":"equal","value":"Nails","and_method":"","field_and":"","logic_and":"","value_and":""}]Body Massage//Select Your TreatmentHawaiian Lomi Lomi Massage Deep Tissue Massage Dry Massage (Shiatsu Style) Customized Combination MassageIntensive Foot ReflexologyQuick Reg & Foot MassageField is required!Field is required!Treatment Duration30min45min60min90min120minOther[{"field":"{Body_Choice_1}","logic":"equal","value":"Hawaiian Lomi Lomi Massage ","and_method":"or","field_and":"{Body_Choice_1}","logic_and":"equal","value_and":"Deep Tissue Massage "},{"field":"{Body_Choice_1}","logic":"equal","value":"Dry Massage (Shiatsu Style) ","and_method":"or","field_and":"{Body_Choice_1}","logic_and":"equal","value_and":"Customized Combination Massage"}]Field is required!Field is required!Treatment Duration45min60min[{"field":"Body_Choice_1","logic":"equal","value":"Intensive Foot Reflexology","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Treatment Duration15min30min[{"field":"{Body_Choice_1}","logic":"equal","value":"Quick Reg Foot Massage","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Add-onSelect as many add-ons as you\'d like.Hot Stone EnhancementPremium CBD oil AromatherapyEye Treatment (Luxury Eye MaskPremium CBD oil EnhancementNo Add-Ons[{"field":"{Body_Choice_1}","logic":"equal","value":"Hawaiian Lomi Lomi Massage ","and_method":"or","field_and":"{Body_Choice_1}","logic_and":"equal","value_and":"Deep Tissue Massage "},{"field":"{Body_Choice_1}","logic":"equal","value":"Dry Massage (Shiatsu Style) ","and_method":"or","field_and":"{Body_Choice_1}","logic_and":"equal","value_and":"Customized Combination Massage"}]Field is required!Field is required![{"field":"{Guest_Service_1}","logic":"equal","value":"Body Massage","and_method":"","field_and":"","logic_and":"","value_and":""}]FacialsSelect Your Treatment La Pure Signature Facial Anti-aging FacialNano Infusion Advance Anti-aging FacialThe Royal Glow FacialConcentrate Neck Facial Back Facial Field is required!Field is required!Treatment Duration:30min60min[{"field":"{Facials_Choice_1}","logic":"equal","value":"La Pure","and_method":"or","field_and":"{Facials_Choice_1}","logic_and":"equal","value_and":"Anti aging"}]Field is required!Field is required!Treatment Duration:90min[{"field":"{Facials_Choice_1}","logic":"equal","value":"Nano","and_method":"or","field_and":"{Facials_Choice_1}","logic_and":"equal","value_and":"Royal Glow "}]Field is required!Field is required!Treatment Duration:60min[{"field":"{Facials_Choice_1}","logic":"equal","value":"Neck","and_method":"or","field_and":"{Facials_Choice_1}","logic_and":"equal","value_and":"Back Facial "}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Jelly MaskDr. Serum VENUS MICRO CURRENT MaskEye Treatment Luxury Sheet MaskRed/Bule Light TherapyChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"{Facials_Duration_1}","logic":"equal","value":"30min","and_method":"or","field_and":"{Facials_Duration_1}","logic_and":"equal","value_and":"60min"}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Eye Treatment Luxury Sheet MaskChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"{Facials_Choice_1}","logic":"equal","value":"Royal Glow ","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Add-on ServicesSelect as many add-ons as you\'d like.Dr. Serum VENUS MICRO CURRENT MaskEye Treatment Luxury Sheet MaskChemical Peel2 BIO peel (Herbal Peeling)Ultrasonic akin scrubberTargeted Extraction (including High frequency/Blue light)Quick Neck TreatmentNo Add-Ons[{"field":"{Facials_Choice_1}","logic":"equal","value":"Nano","and_method":"","field_and":"","logic_and":"","value_and":""}]Field is required!Field is required!Add-on MassageSelect as many add-ons as you\'d like.Lifting & Firming Facial MassageFacial Lymph Drainage MassageScalp MassageFoot MassageNo Add-OnsField is required!Field is required![{"field":"Guest_Service_1","logic":"equal","value":"Facials","and_method":"","field_and":"","logic_and":"","value_and":""}]WaxingEyebrowsChinSide BurnsFull FaceFull ArmsHalf ArmsFull LegsHalf LegsChestBackField is required!Field is required![{"field":"Guest_Service_1","logic":"equal","value":"Waxing","and_method":"","field_and":"","logic_and":"","value_and":""}]Lash lift & TintLash lift with TintLash lift without TintTint OnlyField is required!Field is required!Brow Lamination & TintBrow Lamination onlyBrow Lamination with TintBrow Tint ONLYBrow Lamination with Brow waxBrow Lamination with Brow wax and TintField is required!Field is required![{"field":"{Guest_Service_1}","logic":"equal","value":"Lash Brow","and_method":"","field_and":"","logic_and":"","value_and":""}][{"field":"{Guest_Service_1}","logic":"equal","value":"Lash Brow","and_method":"","field_and":"","logic_and":"","value_and":""}]Additional Comments (Guest1) :Field is required!Field is required![{"field":"Guest_Service_1","logic":"equal","value":"Waxing","and_method":"","field_and":"","logic_and":"","value_and":""}]DESIRED SERVICE / TREATMENT REQUEST *Please describe the desired service or treatment for your group. Feel free to include preferences, pressure level, focus areas, allergies, or any special requests.Field is required!Field is required! We will check availability and contact you within 3 business days. If you do not hear from us within 3 business days, please contact us by phone. To secure your reservation, all guests are required to complete our Credit Card Authorization Form. Details regarding the form will be provided by email once your reservation date and time have been confirmed. Once your reservation is confirmed, our cancellation policy will apply. Please do not visit the spa until you receive a confirmation from us. <div style=\"font-family:-apple-system, BlinkMacSystemFont, \'Segoe UI\', Arial, sans-serif; font-size:13px; line-height:1.2; color:#3a2e1a;\"><br /> <p style=\"margin:0 0 4px;\">We will check availability and contact you within 3 business days. If you do not hear from us within 3 business days, please contact us by phone.</p><br /> <p style=\"margin:0 0 4px;\">To secure your reservation, all guests are required to complete our Credit Card Authorization Form. Details regarding the form will be provided by email once your reservation date and time have been confirmed. Once your reservation is confirmed, our cancellation policy will apply.</p><br /> <p style=\"margin:0; color:#1a1a1a; font-weight:bold;\">Please do not visit the spa until you receive a confirmation from us.</p><br /> </div><div style=\"font-family:-apple-system, BlinkMacSystemFont, \'Segoe UI\', Arial, sans-serif; font-size:13px; line-height:1.2; color:#3a2e1a;\"><br /> <p style=\"margin:0 0 4px;\">We will check availability and contact you within 3 business days. If you do not hear from us within 3 business days, please contact us by phone.</p><br /> <p style=\"margin:0 0 4px;\">To secure your reservation, all guests are required to complete our Credit Card Authorization Form. Details regarding the form will be provided by email once your reservation date and time have been confirmed. Once your reservation is confirmed, our cancellation policy will apply.</p><br /> <p style=\"margin:0; color:#1a1a1a; font-weight:bold;\">Please do not visit the spa until you receive a confirmation from us.</p><br /> </div>Field is required!Field is required!SUBMIT RESERVATION REQUEST
