Appointment Request Form 2021

Welcome to Hair Chiasso!
Appointment Request Form

We'd like to accommodate your reservation request accurately and promptly.

Filling in all the information requested will expedite this process.

Once your form has been submitted, the closing page will appear.

** PLEASE NOTE if you require an immediate appointment, please call 419-491-0996
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you new to our salon?

Yes, I'm a new guest (Please see next question)Yes, I was referred by a friend (If you give their name, you both get 25% off one service!)I've been there before but it's been over a yearI visit regularly
If you are a new guest, please tell us how you found Hair Chiasso. (If you were referred, provide their name to get 25% off one service)
Preferred days of week
Preferred times

MorningsAfternoonsEvenings
Preferred service provider
Please provide any other pertinent information
Service Requested - Select all that apply

HaircutConsultation Complimentary - May be required prior to a 2+ hour appointment.Root Touch UpPartial Highlights Or BabylightsFull HighlightsSpecialty Color Technique (Balayage, Teasylights, Fashion Color)Manicure Natural NailsManicure French Tip PolishShellac ManicureShellac Manicure with specialty technique (Nail Art, Frech tip polish)Curl Cut DryCurl Cut and CleanseCurl Cut Cleanse and StyleCurl Cleanse and StyleBrow WaxOther WaxingBrow TintLash LiftLash TintSpecial Event MakeupSpecial Event Hair - wash and blow dry styleSpecial Event Hair - iron styled or curled (no wash)Special Event Hair - all or partially pinned up (no wash)Customized Bioelements FacialRelaxation MassageDermaplane
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Welcome to Hair Chiasso!