Appointment request for new client

Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
What are your pronouns?
How did you hear about us?
If someone referred you, who?
Stylist preference*

Angela Rogers- @Hairsplinters; Color starting at $200. First time haircuts $100.00Blane Anderson- @Beautybyblane; Flat rate $75 per hour for hair coloring services. First time haircuts $65Oliver Pouliot- @Queercosmetology; Color starts at $60 per hour. First time haircut is 60 minutes and is $45
Are you comfortable around dogs?
Salon owner, Angela has three mini Aussies
Current hair length*

PixieChin lengthCollar boneMid-back and longer
Current hair density*

Fine- light weight or thinMedium - average amount or lots of fine hairsThick- heavy or lots of hairs
Which services are you interested in booking today or in the future?*

HaircuttingHaircoloringGray blendingConditioning treatments/ texture recoveryComplimentary product education or recommendationsEvent stylingBridal consultation

Budget concerns*

	1	2	3	4	5

1 is Nah, 5 is Call me!

Describe your hair- Pick all that apply*

WavyCurlyFrizzyStick straightMostly straight, little bit of bodyDryOilyLimpBrittleDamagedCoiledChemically texturedPostpartumCoarse
Have you ever colored your hair?*

YesNo
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 *

Browse Files
Please use a well lit photo, adding images of front side and back views of your hair. Cancelof
Please upload any inspiration pictures or hair goals, relevant to scheduling an appointment.*

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Allergies

Availability *