New Client Form
Please complete prior to booking your appointment
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Birthday:
*
Please select a month
January
February
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Please select a day
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Day
Please select a year
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Year
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Card required on file for No-Show protection.
*
Name on Card
Card Number
Exp. date (MM/YY)
Security code
Zip code
How did you hear about us?
*
Website
Facebook
Web search
Instagram
Referral-if so, who?
Other
What service are you looking to get?
Facial/treatment
Eyelash Extensions
Makeup
Eyelash Lift/tint
Body Treatment
Please upload: Right, center, left profiles
Browse Files
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What times work best for you?(PRIMARY choice)
Morning
Midday
Afternoon
Evening
CHOOSE ONE
What times work best for you?(SECONDARY choice)
Morning
Midday
Afternoon
Evening
CHOOSE ONE
Ideal appointment date: (at least 2 days in advanced)
What types of scents do you like
Musky
Light/clean
Fruity
Floral
Allergic to anything?
*
Please read and check the following:
*
I hereby authorize Savvy Skin Aesthetics to process credit card payments from the credit card saved on file when booking. Clients must have a current and active credit card on file at all times or risk any future appointments being cancelled without notice.
I understand credit care payments will not be processed without due cause, and this card will only be charged for missed, late, or no-show appointment fees without my approval. By signing our form, you give us permission to charge your card for the amount of services booked on or after this date.
I agree to have my card charged a 50% non-refundable appointment fee deposit, and the other 50% is taken care of at appointment. 100% of service fee is charged if I CANCEL WITHIN 24 hrs or NO-CALL NO-SHOW, this charge cannot be used towards another service. Anything done greater than a 24- hour notice (or certain exceptions) will not be charged additionally.
I understand that I must provide at least a 24+ hour notice to cancelling appointments. If full payment is not received to do cancellation, I must pay that invoice prior to booking another appointment at Savvy Skin.
I understand that if I am 10-15minutes late a $10 fee will be added to my appointment. 15+ minutes late to an appointment, a $10 late fee will be added to that appointment fee and rescheduled as time is valuable.
I understand that after 3 cancellations in a row risk, or 3 no-shows within a 12 month period, termination from Savvy Skin.
I agree that I cannot refund or exchange any products purchased or service provided.
I agree to disclose any concerning signs of sickness (particularly related to COVID-19) to my provider BEFORE my appointment. *Fee may be waved under circumstances- Thank you for being considerate to the health of our providers!
I agree to consent to Savvy Skin Aesthetics to post any before/after pictures on any social media site!
I understand and agree to follow any and all Savvy Skin Aesthetics policies.
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