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Terms + Policies
of the salon
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
This will be a form of communication
Please submit 2 years of color history
*
Upload a current photo of your hair in natural light
*
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of
Upload an image of your hair goal
*
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of
How did you hear about us?
*
Social Media Account
Type of Hair
*
Straight
Curly
Wavy
Current length of Hair
*
Short
Medium
Long
Hair Condition
*
Normal
Dry
Oily
Scalp Condition
*
Normal
Dry
Flacky
Itchy
Oily
Have you every used permanent color?
*
Yes
No
How often do you go to the salon?
*
Please Select
Every 3 - 4 weeks
Every 2 - 4 months
Every 4 - 6 months
Once a year
Twice a year
When was your last color service?
-
Month
-
Day
Year
Date
Do you have extensions?
*
Yes
No
Any special instructions?
Date
*
-
Month
-
Day
Year
Todays date
I have read the Terms + Policies
*
Yes
Signature
*
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