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
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Day
Please select a month
January
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December
Month
Please select a year
2026
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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
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of
Please attach a picture of the BACK of your hair in natural light.
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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: