New Client Application

1
Full Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Have you had your hair professionally colored in a salon previously?* This field is required.If YES, please briefly explain when and what services were performed
5
Have you used any color outside of a professional salon within the past 3 years? * This field is required.Please explain
6
What concerns do you have regarding your hair/scalp?* This field is required.Select all that apply
None
Dry
Dull/Lack of Shine
Damage
Thinning/Postpartum
Other
Oily
7
What products are you currently using at home? * This field is required.
8
Are you on any medications that your stylist should be aware of regarding your hair condition? (e.g., thyroid medication)* This field is required.If you're unsure, please consults with your physician
Yes
No
9
Are you allergic to anything specific that your stylist should be aware of?As a holistic stylist, I utilize products such as essential oils that could cause a reaction for clients who are allergic to these ingredients. Of course, we will avoid any products that a client may be reactive to.
10
Please upload a clear, non-edited photo of your current hair color. Be sure to use natural lighting and get your full hair in the photo.* This field is required.Please make sure your hair is down in the photo, and if possible, include a photo of your hair from the back of the head.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Please upload inspiration photos for your hair below.* This field is required.Kindly note, inspiration photos are a wonderful reference for me, but they are not always achievable due to many factors of your hair history. No worries, we will curate something magical for you regardless!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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12
Will you be adding a haircut to your color service?* This field is required.
Yes
No
13
Do you have any other questions or concerns that you would like for me to address?If not, maybe just drop a little intro about yourself, a funny joke, or your favorite beverage :)
14
Please take a moment to review Well With Taylor's Policies

Cancellations

Appointments that are not cancelled/rescheduled with at least 48 hours notice from the original appointment time will be required to submit a $75.00 rebooking fee before scheduling a new appointment. If there is failure to pay this fee or you no call no show to an appointment, you will be removed from Well With Taylor's guest list and unable to book any future appointments. I completely understand emergencies happen. Please respect my time as well as others who need on the schedule. I greatly appreciate your understanding!
15
Please confirm below* This field is required.
I have read and understand Well With Taylor’s Cancellation Policy.
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