Acute Salon New Guest Intake Form

Model Application

Acute Salon 954 W Rosedale Fort Worth TX 76104 www.acutesalonftw.com
Acute Salon does weekly continuing education classes for our stylists.

We are compiling a list of folks who are interested in getting free and/or discounted services and their availability so we can reach out to them about being a model for one of our classes as needed. If you don't hear from us immediately it is because your availability did not line up with our class time or we have not done a class over the service you are interested in.

Thank you for your application. We will reach out to folks as needed!

There is a space to add any questions at the bottom of the survey. You can also fill out an application for sliding scale haircut if you want to enter a lottery to get a free or discounted haircut from the salon owner!
Contact Information
Name*

First NameLast Name
Email*
If you have been to our salon before, please use the email associated with your client account, thank you!
Phone Number*
Please enter a valid phone number.
Would you like to opt in to our newsletter to receive 15% off code during your birthday season and our monthly salon updates? (you can expect 1-2 emails per month)*

Opt in EmailOpt in TextOpt Out
Have you been to our salon before?*

No / Not sureYes

New Client Information
Returning clients can skip this section!
Pronouns*
Birthday*

MonthDayYear
How did you hear about us?*
If referred by a friend, let us know who!
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Are there any accessibility accommodations or sensory sensitivities you would like us to be aware of? (mobility aids, preference of a quiet appointment or unscented products, etc.)
Our booking system requires all clients to provide a valid card to have on file in order to reserve your time slot for future bookings. While you do not need to provide this for a model session, please note that if you decide to book any appointments in the future, you will be asked to provide a card to store on file.*

I understand!
Birthday (old)*
How did you hear about us? (old)

FacebookInstagramGoogle SearchReferred by a friendNewspaper/MagazineA Local OrganizationOther

Model Application