New Guest Inquiry

1
Which stylist are you hoping to see?* This field is required.
Monica
Jessica
Jenna
Christine
Other
2
At this time, Jenna and Christine are not accepting new guests.

Please go back to select an alternative stylist before completing this form.
3

Monica will be going on maternity leave shortly and is not currently accepting new clients.

Please go back to select our stylist Jessica, then continue to fill out the form!
4
Name* This field is required.
First Name
Last Name
5
Email* This field is required.
example@example.com
6
Phone Number* This field is required.
Please enter a valid phone number.
7
On Instagram?
Type your handle
8
How did you hear about us?* This field is required.
Please Select
Please Select
from an existing client of the salon
from an existing client of Mildred New York
found you on Instagram
time out new york
googling salons
other
9
Please list the name of the client who referred you.* This field is required.
First Name
Last Name
10
Are you interested in cut, color, or both?* This field is required.
Cut only
Color only
Both
11
Please give a history of all chemical services you've had in the last five years.* This field is required.
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12
Please describe your current hair and what look you're hoping to achieve.* This field is required.
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13
Please describe your hair goals; what look are you hoping to achieve? What factors are most important to you? (e.g. hair health, tone of color, maintaining length, soft grow out, etc)* This field is required.
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14
Please upload a photo of your current hair (in natural lighting please!) It is also helpful for us to see an inspiration photo of the look you're hoping to achieve.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Upload Photos
You can upload multiple photos!
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15
What is your availability?* This field is required.
"Weekdays before 3pm" or "Weekends only"
16
What is your ideal timing for an appointment?* This field is required.
"May 2020" or "Before my birthday in March"
Should be Empty: