Guest
Form
New client appointment request form. This gives me a chance to get to know a little about you and your hair goals.
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
social media handle Fb or insta
blanks
Appointment day and time desired must be approved. Please not it may take 48 hours to review request. Appointments will depend on availability. Available can be 5-14 days out. You will receive a text about appointment and availability. Thank you.
Service request
Please Select
Hair cut
Color
Highlights/balayage
Brazilian Blowout
Curl cult (not your moms perm)
Hair cut and color
Formal style
Corrective Color
Budget
Under $100
$100-200
$200-300
$300-400
$400+
No budget
I currently have or have had
Highlight
Salon color
Box color
Never have had any chemical color or highlight service
Henna
My last color or highlight was
Done in salon
Done outside of a salon
None
It has been how long since last service
More than 6 weeks
Less than 6 weeks
Never
More than 3 months
More than 12 months
File Upload
Browse Files
Drag and drop files here
Choose a file
Please include a photo of your current hair.
Cancel
of
File Upload
Browse Files
Drag and drop files here
Choose a file
Please include inspiration photo for desired look
Cancel
of
Lastly, please tell me about your hair and your desired outcome. And I will review and text you any additional questions and confirm appointment availability. Thank you so much and I look forward to meeting you.
Submit
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