If you would like to request a Shout-Out appointment, please fill out the following form. A response to your request will be made as soon as possible.
SHOUT-OUT REQUEST FORM
*Name:
*Phone:
*E-Mail:
Comments, Questions, or Special Requests:
USE THE MOUSE, NOT THE TAB OR ENTER KEY WHEN ENTERING INFORMATION.
How would you like to be contacted?
Shout-Out Sessions
Unlike regular Appointment Requests, Shout-Out appointments must be paid for in advance by a credit card. In addition, no refunds will be given
if you fail to make your appointment for any reason
(including sickness, family emergency, etc.).
Your credit card will be charged only when your appointment is confirmed.
Payment Information
Name On Card:
Card Number:
If you prefer, you may call 816-589-3030 to phone in credit card information.
Card Type:
Expiration Date:
Credit Card Information
You Must Click The "Submit" Button To Confirm Order.
Exceptions
Shout-Out is for new bookings only. If you currently have an appointment with Balanced Health & Fitness and want to switch to a Shout-Out booking, a $10 fee applies. Are you cancelling another appointment to book a Shout-Out session?
Would you like to add a Pre-Paid Gratuity to this session?
