Select A Service
Women's Short Haircut (above Shoulders) $50
Women's Medium/Long Haircut (below shoulders) $80
Men's Haircut $50
All Over Hair color $155 (1 color) (Permanent)
Partial/Top Of Head Highlights/Foils $170
Full Head Highlights/Foils $220+
Tape-in Extensions (10 pack)$150+
Wash and Blowout $80
Formal updo $100+
Group event: Birthday party/Wedding party/Bachelorette party $100+
Balayage $220+
Permanent Eyebrows $400
Other
What type of event?
Wedding, Bachelorette, Birthday etc.
How many adults/children will want services (we offer a group discount of 10% for groups of 3+)?
Please specify ex: (4 adults, 3 children)
What services would you like us to perform?
Ex: Formal updo, wash and style, formal makeup, eyelash application
What is the date and time of event?
Add On Services
Face/Brow Wax (per area) $15
Deep Conditioning Treatment $15
Clarifying treatment $15
2nd Color added to a foil $10
2nd and 3rd Color added to a foil $20
Haircut added to a color service $30
Child Haircut (12and Under) $25
Strip lash application $15
Formal makeup application $75
Other
Client's Name
*
First Name
Last Name
Client's Phone Number
*
Client's Email Address
*
example@example.com
Do you need wheelchair accessible mobile Salon?
Please Select
No
Yes
Occupation
Date of Birth
-
Month
-
Day
Year
Date
Tell us something about your hair
Upload an image of your current hair (Eyebrows if seeking permanent eyebrow service)
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of hair you prefer
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
How often do you go to salon for hair treatment?
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
What is the current condition of your hair?
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
Have you use the following in your hair before?
Permanent hair color
Keratin Treatment
Razor cut/Thinning
Relaxer
Henna
When did you last visit a hair salon?
-
Month
-
Day
Year
Date
When did you last apply professional or unprofessional color in your hair?
Is your hair
*
Please Select
Thin
Medium Thin
Medium Thick
Thick
Extra Thick
How did you hear about us?
Facebook
Twitter
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
What is your day/time preference for a mobile salon visit?
Who is your preferred professional?
Please Select
No Preference
Lindsey
Melissa
Stephanie
What music genre would you like us to have playing for you at your appointment?
Rock, Rap, Country, Classical etc...
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you interested in having a wrinkle relaxer/facial tox at your hair service? We collaborate with an RN named Samantha with Beauty Blitz who can offer this add-on service.
Please Select
No
Yes
I.e. Botox Dysport Xeomin
We are happy to accommodate anyone wanting a "silent service" i.e. our stylists will not make small talk with you, we'll only ask questions pertaining to your hair. We'll leave it to you if you want to chat beyond that.
Please Select
No, no need for Silent Service, I have a lot to talk about!
Yes, I prefer to not talk and would like a Silent Service.
Regarding Covid-19, would you prefer your stylist wear a mask during your service(s)?
Please Select
No
Yes
Client Signature
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