Waitlist

1

If You Are A New Guest, Have You Filled Out Your New Guest Virtual Consultation Form by chance? If you have not, Please Do Not Continue This Form; Go Back To The New Guest Page and begin your consultation there. Existing guests feel free to skip this and complete the form sent to you with your appointment message.

YESNO

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

Mark All Days and Times You Are Available.* This field is required.Please note the last color appointments of the day begin no later than 4:00 PM.

Tuesday 9 am - 12 pm

Tuesday 12 pm - 3 pm

Tuesday 3 pm - 7 pm

Wednesday 9 am - 12 pm

Wednesday 12 pm - 3 pm

Wednesday 3 pm - 7 pm

Thursday 9 am - 12 pm

Thursday 12 pm - 3 pm

Thursday 3 pm - 7 pm

6

Beginning Date You Are Needing An Appointment On?* This field is required.I will contact you beginning on this day for any openings.

Date

7

Ending Date You Are Needing An Appointment By?* This field is required.Your entry will expire on this day.

Date

8

Could you let me know what Services you need to book? What time and day parameters do you have? Be specific.* This field is required.For example, it needs to be after 5 pm, etc. If you have multiple days, list them individually and with that day's availability. Let's make this a smooth process.