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. 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. 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. 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!Phone numberYour Phone numberInvalid phonenumber!Invalid phonenumber!2. Preferred Date & Time (Up to 3 Choices)Please select a date at least 3 days from today. Available times are 9:15 AM - 8:30 PM (every 30 minutes).1st Choice Date:- Select a date -Field is required!Field is required!1st Choice Time :- Select time - 9:00 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!2nd Choice Date:- Select a date -Field is required!Field is required!2nd Choice time :- Select time - 9:00 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 - 9:00 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!4. Service RequestDESIRED 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!Additional CommentsField 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. 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. 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. Field is required!Field is required!SUBMIT RESERVATION REQUEST