New Client Application
Please fill the form below honestly. Please note: In the event that you need to cancel any appointment, please be sure to give a minimum of a 24-hour notice or it will result in a 40% charge of service. Please see Policies and More page for more details.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Date of Birth
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Have you ever used box dye?
*
Yes, once
Yes, several times
No, never
When was the last time you colored or lightened your hair?
*
When is your availability?
*
Mornings/Weekdays
Afternoons/Weekdays
Mornings/Weekends
Afternoons/Weekends
Are there any specific days that work best for you? If so, list below.
*
How did you hear about me?
*
Instagram
Yelp
Through a freind
Other
A consultation is required for all new clients.
*
I understand, I am local and able to come in person.
I understand, but am not local and would like to do a FaceTime/Skype video consultation.
Do you understand the financial and time investment it takes to upkeep your hair?
*
Yes
No
Please give me a detailed explanation of your hair history (when you've gotten your hair done, how, where, and with what products if done at home).
*
Please attach a picture of the FRONT your hair in natural light.
Browse Files
Cancel
of
Please attach a picture of the BACK of your hair in natural light.
Browse Files
Cancel
of
Please attach a picture of your hair inspiration or goal.
Browse Files
Cancel
of
Anything else you'd like me to know?
Submit
Should be Empty: