Hair Consultation Form

Thank you for taking the time to help me get to know you! You will receive a response via the method you choose below within 24 hours during business days Monday - Friday.
Client's Name*

First NameLast Name
Client's Phone Number*

Area CodePhone Number
Client's Email Address*
example@example.com
Upload an image of your dream hair.

Browse Files
You can upload multiple files here Cancelof
Upload an image of your current hair

Browse Files
You can upload multiple files here Cancelof
Tell me about your hair or your hair goals?*
How long is your hair?*
What is the density of your hair?*
Have you used the following in your hair recently?*

Permanent hair colorKeratin TreatmentBox ColorRelaxerHennaNone of these
When did you last apply professional or "at home" color in your hair?*
Have you had any hair loss, allergic reactions, or uncommon hair issues in the past?*
What best fits your schedule?*

EveningsMorningsDaytimeI'm flexible
How did you hear about Roots & Wings?

FacebookInstagramGoogle SearchReferred by a friendOther
Any concerns you would like to mention or special requests?
How do you prefer to be contacted?*

TextPhone callEmail
Cancellation Policy

You will receive a reminder text 48 hours prior to your appointment. Please notify me at that time if something comes up and we need to cancel, reschedule, or adjust your appointment! There is a cancellation fee of 25% of your service for less than 48 hours notice and 50% of your service if I don't hear from you or see your beautiful face on the day of your appointment. :)

Thank you for understanding this policy!
Client Signature/Acceptance of Cancellation Policy *

Clear
Date Signed*

MonthDayYear
Date
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