NEW CLIENT FORM
Name
First Name
Last Name
Appointment Date you need your hair done by?
Date
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
INSTARAM HANDLE
Preferred Contact Choice
Please Select
Instagram
email
phone
Have you used Box color or colored your hair in the last 5 years?
yes
no
If yes, please give us a brief 5 year hair story! This means any at home, or professional color, any kind of chemicals, rinses, etc!
Have you had any other chemical services done to hair in the past three years, such as a relaxer, perm, or keratin treatment?
Please give a short description of your current (color, condition, length, etc.) and add photos below.
Current Hair. These photos are best taken in indirect natural lighting.
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Current Hair
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Please describe what your goals are for hair and attach below your inspiration photos.
Inspiration Photo
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Inspiration Photo
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Choose a file
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What day of the week works best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time is best for you
Morning
Afternoon
Evening
How often do you like to come to the salon?
4-6 weeks
8-10 weeks
10-12 weeks
What kind of budget do you have in mind? Please give a range.
We have a referral program, so please let us know who referred you so we can thank them. Add name below
Do you have a stylist in mind?
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