RETURNING CLIENT
APPOINTMENT REQUEST
Name
*
First Name
Last Name
E-mail(update if needed)
example@example.com
Phone Number(update if needed)
-
Area Code
Phone Number
Which Location Do Want to Book? A drop down menu will appear for the location you choose
Salon Republic Valencia
Bear Valley Springs Tehachapi
Choose Your Date for Valencia . Notate time in the box below.
Please Select
November
8 10:45, 2:30, 3,4, 5
1 4
13 10 , 11, 12, 1, 2
14 10 open through 5
15 9:30
18 10 ,,11,
19 10, 11, 2:30, 3,4,,5
20. 10 , 11, 12, 1
21. 3,4,5
22. 9:30 , 10, 11, 2open through 5
29. 1 open through 5
Choose Your Date For BVS. Notate Time in the Box Below
Please Select
November
4. 12:30
10. Open
12. Open
17. Open
21. Open
Choose Your Service(s)
Haircut
Haircolor for coverage
Highlights for contrast or depth
Scalp Treatment
Blow Dry add on
Hot Tools add on
Custom Mask treatment add on
Reiki Session
Crystal Chakra Balancing Session
Pendulum Session
Lunar phase session
Wig maintenance online consultation required for any new to me clients
Add on a 3 card reading . Complimentary with any service that has a processing time . 37.00 for add on to any other service .
Put your choice of times here and any notes regarding changes or add ons :
Submit Form
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