New Customer Registration Form

Customer Inquiry Form:
Please Note: Responses may take up to 72 hours. You will be contacted by one of your chosen stylists.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Is this a cell phone? *
E-mail*
example@example.com
How did you hear about us?*
Preferred Stylist(You may check more than one)

First availableStephanie JPaige TLindsey MMichelle TAmanda WJamie WEmily SMelissa H(if interested in extensions with Melissa, please visit her page to fill out her extension form)
I am interested in booking(Choose all that apply)*

HaircutRoot touch upAll over single colorPartial HighlightFull Head highlightBalayageExtensionsKeratin Smoothing TreatmentOther
Preferred Day(choose all that apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday(options for this are extremely limited and not consistent)
Preferred Time*

Morning(Earliest possible/before noon)Afternoon(12pm-4pm)Evenings(4pm or later)Only weekends
How soon are you looking to get in? *
Please detail any ideas you have for your appointment expectations so we can properly book you. Example: If you are planning a major change in cut or color.
Do you have any current pictures of your hair?

Cancelof
Would you like to upload any inspiration photos?

Cancelof
After submitting this form, our stylists will be notified of your inquiry and respond within 72 hours. If you have not heard from a stylist in that time, please email Melissa at: Melissa_salonm@yahoo.com. We strive to meet all of our new and existing clients requests. Appointments will be based on availability and in the order that requests are received.
Should be Empty:

Customer Inquiry Form:

Please Note: Responses may take up to 72 hours. You will be contacted by one of your chosen stylists.