NEW CLIENT FORM

New Client Form
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email Address *
example@example.com
Age
Date of Birth *

Month Day Year
Date
Gender identity *

Male Female
Address *

Street Address

Street Address Line 2

City State

Zip Code
Occupation *
Preferred Hair Stylist
Tell us about how you style your hair. How long does it take? *
What are the things that you love about your hair? *
What are the things you don't like about your hair? *
What products are you using on your hair? *
How did you hear about us? *

Facebook Instagram Online Advertisement Google Search Referred by a friend Newspaper/Magazine
Would you like to receive updates from Indigo Salon and Day Spa via email or text? *

Yes No
Date Signed *

Month Day Year
Date
Signature *

Clear
Should be Empty:

New Client Form