NEW CLIENT FORM

New Client Form
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Age
Gender identity *

MaleFemale
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?*

FacebookInstagramOnline AdvertisementGoogle SearchReferred by a friendNewspaper/Magazine
Would you like to receive updates from Indigo Salon and Day Spa via email or text?*

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Date Signed*

MonthDayYear
Date
Signature*

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New Client Form