APPOINTMENT REQUEST
Name
*
First Name
Last Name
Email
*
Phone Number
*
-
Area Code
Phone Number
DESIRED DAY?
*
THURSDAY
FRIDAY
SATURDAY
WHICH SERVICES WERE YOU INTERESTED TO BOOK FOR THIS APPOINTMENT?
*
HAIRCUT
PARTIAL HIGHLIGHT / PARTIAL BALAYAGE
FULL HIGHLIGHT / FULL BALAYAGE
FACE FRAME HIGHLIGHTS
LOW LIGHTS
BASE COLOR / ROOT TOUCH UP
COLOR CORRECTION
GLOSS / TONER
ADD ON BLOW-DRY + STYLE - Base color, gloss and face frame highlights do not include a blow-dry + style. I will blow dry the front to check for color and rough dry the back area. Please indicate if you would like to add a blowdry + style to these services by checking this box.
PURA LUXE NON TOXIC SMOOTHING TREATMENT
DESIRED TIME?
*
MORNING
AFTERNOON
HAIR TALK. *Please describe your hair currently and your chemical service history for the past 5 years. This includes at home box dye, prior salon visits, perms, keratin treatments, scalp conditions, medication, hormonal shifts, etc...
*
CURRENT HAIR PHOTOS
*
Browse Files
*please attach current hair photos not more than a week old in natural ligh (take photo facing a window), no filters. Top view, front/selfie, back of head.
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HAIR GOALS
*
Browse Files
*please attach any inspo photos of your hair goals.
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of
Submit
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