Color Appointment Request Form

1
Who would you like to see?* This field is required.
Lauren @hairbylauren.burnside
Katie @extensionsby.katie
Nevaeh @naveahxhair
2
Tell us your name!* This field is required.
First Name
Last Name
3
Whats your phone number?* This field is required.
Please enter a valid phone number.
4
Tell us your Email!* This field is required.
example@example.com
5
Show us your current hair!* This field is required.No filter, and natural light if possible is best. Upload a front shot, and a back shot.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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6
Please give us a brief history of your hair.* This field is required.Previous professional color, previous at home color, hair routine, etc.
Huge
Large
Normal
Small
Ok
Ok
7
What are you wanting done?* This field is required.
8
Show us your Inso pictures.* This field is required.We love pictures! It helps us make sure everyone is on the same page.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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9
What is your availability?* This field is required.Please be specific (days/times). We are open Tuesday-Friday.
10
Do you have a referral code?If you were referred by one of our branding partners, please enter in their coupon code below!
11
How did you hear about us?* This field is required.
Instagram
Google
Friend/Referral
Yelp
Other
Should be Empty: