Appointment request for new client

Name* This field is required.Required

First Name

Last Name

Email* This field is required.Required

example@example.com

Phone Number* This field is required.Required

Area Code

Phone Number

How did you hear about us?If you were referred by someone, who was it?

Who is your preference in Stylist?* This field is required.Stylist preference doesn’t always ensure you will be booked with that stylist. Stylists can be booking as far as 5 weeks out. Our goal is to get you in the salon, and loving your hair ASAP - We will match you with the best fit for your hair goals, and availability!

Angela Rogers- @Hairsplinters; Flat rate $120 per hour (first time haircuts booked at 90 minutes and charged $120)

Blane Anderson- @Beautybyblane; Flat rate $75 per hour for hair coloring services. First time haircuts $65

Are you concerned with budget?* This field is required.Your stylist will reach out to discuss pricing and alternative options for achieving your desired look!

YESNO

What is the best way to contact you?* This field is required.This is how we will reach out for scheduling

Text

What are your pronouns?

Are you comfortable around dogs?Salon owner, Angela Rogers has toy Australian Shepherds who are in the salon daily.

Which best describes the length of your hair right now* This field is required.Pick one

Pixie

Chin length

Collar bone

Mid-back and longer

Which best describes your hair density* This field is required.Pick one

Fine (light weight or thin)

Medium (average amount or lots of fine hairs)

Thick (heavy or lots of hairs)

What services are you interested in booking today or in the future?* This field is required.Select all that apply

Haircutting

Haircoloring

Gray blending

Conditioning treatments/ texture recovery

Complimentary product education or recommendations

Event styling

Bridal consultation

How would you best describe your hair?* This field is required.Select all that apply

Wavy

Curly

Frizzy

Stick straight

Mostly straight, little bit of body

Dry

Oily

Limp

Brittle

Damaged

Coiled

Chemically textured

Have you ever colored your hair?* This field is required.

Yes

What do you love most about your hair?

What difficulties have you had with your hair in the past?

Please upload pictures of your current hair, naturally styled * This field is required.Required- this helps us to determine the amount of time to reserve for an appointment.

Drag and drop files here

Select files to upload

Please use a well lit photo, adding images of front side and back views of your hair.

Please upload any inspiration pictures or hair goals, relevant to scheduling an appointment.* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Do you have any allergies? Please list all- even if you think they may not apply.

Availability * This field is required.

Do you take any medications that may effect the outcome of your hair services? Ie: Hormones (pregnancy), steroids, acne medication, and others that may raise body temperature- have the potential to effect chemical processing during hair coloring.

YESNO

Appointment request for new client