New Clientele
New Client Intake
Filling out this quick form will help me in the process of booking a consultation/future appointment
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birthday
-
Month
-
Day
Year
Birthday Retail Specials
Select ALL hair history that applies to you from the last TWO years
*
Box Dye
Professional (Highlights, all over color, etc)
Henna
Sun In/Sun Bum
Temporary Dyes (manic panic, splat, etc)
Perm or Relaxer
Brazilian or Keratin Treatment
Other
Select the services you are interested in
*
Haircut and Style
Grey Coverage
Highlights/Partial Highlights
Balayage/Partial Balayage
All over Color
Root Touch up/Express Retouch
Toner/Glossing Treatment
Color Correction
Brazilian Blowout Treatment
Keratin Complex Smoothing Treatment
Other
Times that work best for your schedule(my last color service appt starts at 4pm)
*
Mornings(9:30-11:30am)
Early Afternoon(12pm-3:30pm)
Early Evening(4pm-6:30)
Any Time
Day(s) that work best for your schedule(my schedule is M-F)
*
Any other notes/info you feel like sharing
Please include any inspiration pictures AND a current picture of your hair unedited.
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