New Guest Application
pre-consult form to request appointment with Justine
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Prefered method of contact?
*
Email
Text
Either
Service requested
*
Please Select
Hair Cut & Blow Dry
Extensions
Color -Gloss
Color - Grey coverage
Color - Fashion/Vivids
Color - Bleach & Toner
High Lights - Partial
High Lights - Half
High Lights - Full
High Lights -Balayage/Custom
Perm
How did you hear about me?
Please give a brief overview of hair services received over the past 2 years:
When was your last hair service?
I am in the salon Tuesday 9:30-5, Wednesday 9:30-2:00, Thursday 9:30-5, with Fridays 9:30-5 reserved for Extension guests. What days + times that work best for your schedule?
Please list current hair products used
How often do you like to come in for hair maintenance?
My color services range from $120- $210+. What is an average range of monetary price you are looking to invest per appointment for your hair service
$90 - 150
$150 - $200
$250+
interested in haircut only
Top 3 Services you are interested in learning more about
Haircuts
Custom Lightening service
Extensions
Treatments
Grey Coverage/blending
Add me to your mail list
Yes please
No thank you
Please upload a photo of your current hair
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Cancel
of
Please upload a inspiration photo for your hair
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Cancel
of
By submitting this application you agree to my cancellation policy rules, should we proceed with booking. My policy states that all guests must have a card on file to hold their appointment. It will not be charged unless you violate my cancellation policy. The appointment changes/cancels must be done 48 hrs prior to service. Failure to do so results in a $45 fee charged to the card on file. No call/no show will be charged full amount of services and not allowed to rebook. Please sign below to show you understand and authorize this.
Signature
Request an Appointment
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