New Client Intake form
To become a client at KM Hair & Beauty
Full Name
*
First Name
Last Name
Pronouns
She/her
He/him
They/them
Other
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Your birthday so we can can celebrate you!
-
Month
-
Day
Year
Date
Are you looking for a change in your hair?
Yes
No
If yes, what are you wanting to change?
What services are you interested in? Please note that at this time we are not accepting any new just hair cut clients. If you are inquiring about getting a haircut, it would need be accompanied with a hair treatment or any colour service.
Hair extensions
Blonding services
Solid colour
Root touch up
Colour and Cut
Hair treatment and Cut
Preferred appointment time
Daytime
Evening
Saturday
No preference
Which of the following best describes the texture of your hair
Fine
Medium
Coarse
Which of the following describes the thickness of your hair
Thin
Medium
Thick
Please upload 1 or more photo(s) of your current hair
Browse Files
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Choose a file
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of
Please upload your inspiration photo(s)
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Please add any additional information you think I should know below:
I agree to comply with the KM Hair & Beauty cancellation policy which requires me to cancel or reschedule my appointment within 72 hours to avoid being charged 50% of services booked.
I agree
I disagree
I understand KM Hair & Beauty will require a credit card on file to secure my booking. I also understand my card will only be charged in the event the cancellation policy is broken.
I understand
I’m ready to book, but cannot provide a credit card
I’m not ready to book at this time
I agree that if I do not follow the personalized recommendations for my hair, KM Hair & Beauty cannot be held liable for what happens outside of the salon.
I agree
I disagree
I agree to pre-booking my following appointments to ensure the best possible results.
I agree
I disagree
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