New client submissions

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Briefly describe your current hair + hair struggles * This field is required.Whats your current hair like? Thick, thin, wavy, straight and lifeless. Blonde, dark, etc Struggles: hard at curling, isnt light enough, grays need coverage.
Huge
Large
Normal
Small
Ok
Ok
5
Do you need grey coverage * This field is required.
YESNO
6
Have you applied at home box color in the last 24 months? * This field is required.
YESNO
7
Describe your goal hair. * This field is required.What your main goal would be to bring your dream hair to life. You would like it lighter or more dimensional, longer + thicker, etc.
Huge
Large
Normal
Small
Ok
Ok
8
Day preference* This field is required.Currently accepting new clients on the following days.
Wednesday
Thursday
9
Time preference* This field is required.** Currently not accepting new clients for evening appointments
Morning
Afternoon
Other
10
Current hair | Front * This field is required.Please upload a clear photo of the front of your hair. This needs to not be in direct sunlight or super bright area. Selfie of from top to bottom of hair.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Current Hair | Back * This field is required.Please upload a photo of the back of your hair, this can be a selfie in a mirror of just the back. Showcasing from the roots to ends to get a true feel for the texture, color and density of your hair.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
Goal Hair * This field is required.This would be the hair you are aiming to achieve so we can determine the process to get there, the amount of time, expectations and the budget to achieve this look.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
13
Referred by
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