Beez New Client Application

1
First Name* This field is required.If you are applying for a client that is under 18 please fill out the form with THE CLIENTS information NOT THE GUARDIAN.
2
Last Name* This field is required.If you don’t provide a valid name you won’t get an appointment
3
Cell Number* This field is required.If you don’t provide a valid number you won’t get an appointment
Area Code
Phone Number
4
Email* This field is required.If you don’t provide a valid email you won’t get an appointment
example@example.com
5
Who can we thank for referring you?* This field is required.IG, Yelp, Google, Walked by, Persons Name, Doctors Name
6
scroll to view
7
Based upon Our Service Menu, what service are you thinking you may need?* This field is required.check all that apply
In Person Consultation $100
Virtual Consultation $100
Virtual Acne Bee Clear Program $100- $200
Brows and/or Lashes price varies
8
We DO NOT perform acne treatments on clients not using OUR reccomended home care products. Home care products are VITAL to your success for treating acne and preventing new acne from forming. Every product we carry has been thoroughly researched and tested.

Indiviual home care products range in price, a complete home routine typically ranges from $180- $300, varying in usage timeline.
9
Which best describes your skin?* This field is required.select the best answer
I have acne currently
I maybe occasionally have "congestion"/small bumps/blackheads.
I used to have acne, but now I'm clear.
I've never been to an acne clinic but I use face reality or vivant skin care, and I got your info from their website.
I never had acne, I've always been clear.
I'm here for brows/lashes only
10
At this time, The Beez Kneez Skin Care & Acne Clinic is NOT accepting NON-ACNE CLIENTS. If you feel this may be a mistake, please email us directly at info@thebeezkneezsf.com. If you'd like to get waxing, brow lamination and/or lashes, please continue with the application.

To purchase products go to

Shop Online Here

VIP WAITLIST HERE
11
When was your last facial?* This field is required.
I’m on a regular cycle, less than 6 weeks ago
More than 8 weeks less than a year
Way too long! (over a year)
Never, you'll be my first :)
i'm here for brows/lashes only
12
CHECK ALL THAT APPLY* This field is required.Which best describes you?
I'm committed to clearing my skin. I've never been to an acne clinic.
I went to the dermatologist and things are not getting better. I'm ready for change.
I'm just shopping around for a facial place.
I'm coming from another acne clinic but still breaking out and haven't been clear YET.
I'm on maintenance, I'm coming from another acne clinic.
ummm... I thought I would get clear after only ONE TREATMENT???
I have a big event I want to be clear for less than 3 months away
I fell off in my treatments but ready to return.
I'm busy, and frequently have to reschedule last minute.
I only am looking for just one facial for a special occasion.
I'm not ready to commit to in person treatments, I need virtual.
I'm here for brows/lashes
13
If you are just shopping around there is no need to finish this form.

STOP

All the details about our services & prices are on our website.

Please only continue if you want to become a client.
14
What results are you wanting to achieve? Is there anything else you'd like to share?* This field is required.
please share your thoughts
15
VERY IMPORTANT!!!!!

Consultations ARE ON WEEKDAYS ONLY

& is approx. 1.5 hours

ONCE YOU ARE AN ESTABLISHED CLIENT YOU WILL BE ABLE TO BOOK EVENING AND WEEKEND APPOINTMENTS

If for some reason you absoultely CAN NOT make a weekday work please email us giving available days & times, be as specific as possible!

info@thebeezkneezsf.com
16
If you don't plan on booking NOW please don't select I'm ready to book.* This field is required.Please Select One
I'm READY! Let's find an open WEEKDAY that worksI'm NOT ready to book. I Have questions or need another day.
17
Please type your questions or concerns below. Or if WEEKDAYS don't work for your 1st appointment, what days do? We can call you when available an time opens up. If you mentioned virtual we will reach out to you to book your 1st apt.* This field is required.
type your questions here
18
PLEASE READ CAREFULLY!

You need a credit card to hold your appointment

Step 1: Once you click submit you'll be taken to the booking page, you'll want to choose your SERVICE.

Step 2: You will be taken to our calendar with our available appointments.

Step 3: Select the Time you prefer.

Step 4: Follow the prompts to book your appointment.

Step 5: If you're unable to find an appointment time that works well for you, you can put yourself on our waitlist.

Step 6: Add info@thebeezkneezsf.com to your contacts and always check your junk mail to make sure you don't miss our emails.

You'll be receiving a few follow up emails from us with more information on how to prepare for your 1st appointment

ALL OF YOUR IMPORTANT DOCUMENTS, INSTRUCTIONS, APPOINTMENT REMINDERS, ETC ARE SENT VIA EMAIL!

IF YOU UNSUBSCRIBE AND MISS YOUR APPOINTMENT YOUR ARE RESPONSIBLE! WE DON'T SPAM.

If you have any troubles or questions, please email us and we'll get back to you as soon as possible.

I have read the above and understand the booking instructions
19
Please verify that you are human* This field is required.
20
Tags
Todo
In Progress
Done
Should be Empty:

PLEASE READ CAREFULLY!