โ๏ธ ๐ฝ๐๐ ๐ฒ๐๐๐๐๐ ๐ฐ๐๐๐๐๐๐๐๐๐๐ โ๏ธ
๐ธ ๐๐๐๐ ๐๐๐๐๐ ๐๐๐ ๐๐๐๐๐ข๐๐๐ ๐๐๐ ๐ธ ๐๐๐๐๐๐๐๐๐๐ ๐ข๐๐ ๐๐๐๐๐๐ ๐๐๐ ๐๐๐๐ ๐๐ ๐๐๐๐ ๐๐๐๐ ๐๐๐ ๐๐ ๐๐ ๐ ๐๐๐ ๐๐๐๐ ๐๐ ๐๐๐ ๐๐ ๐๐๐๐ ๐ข๐๐๐ ๐๐๐๐ ๐๐๐ ๐๐๐๐ ๐ข๐๐ ๐๐๐ ๐๐๐๐ ๐๐๐๐ ๐๐๐ข๐ ๐๐๐๐๐ ๐๐๐๐ ๐๐๐.
๐ฝ๐ฐ๐ผ๐ด
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First Name
Last Name
๐ด๐ผ๐ฐ๐ธ๐ป
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example@example.com
๐ฟ๐ท๐พ๐ฝ๐ด ๐ฝ๐ ๐ผ๐ฑ๐ด๐
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Please enter a valid phone number.
How would you like to receive appointment reminders?
Text
Email
Both Text + Email
How did you hear about me or who referred you?
๐๐ฉ๐ข๐ต ๐ฅ๐ฐ ๐บ๐ฐ๐ถ ๐๐๐๐ ๐ข๐ฃ๐ฐ๐ถ๐ต ๐บ๐ฐ๐ถ๐ณ ๐ฉ๐ข๐ช๐ณ?
๐๐ฉ๐ข๐ต ๐ฅ๐ฐ ๐บ๐ฐ๐ถ ๐๐๐๐๐๐๐ ๐ข๐ฃ๐ฐ๐ถ๐ต ๐บ๐ฐ๐ถ๐ณ ๐ฉ๐ข๐ช๐ณ? ๐๐ฏ๐ฅ ๐ฐ๐ณ ๐ฎ๐ข๐ช๐ฏ ๐ข๐ณ๐ฆ๐ข๐ด ๐ฐ๐ง ๐ค๐ฐ๐ฏ๐ค๐ฆ๐ณ๐ฏ ๐บ๐ฐ๐ถโ๐ฅ ๐ญ๐ช๐ฌ๐ฆ ๐ข๐ฅ๐ฅ๐ณ๐ฆ๐ด๐ด๐ฆ๐ฅ.
What service(s) are you looking to schedule? (Select all that apply)
Full Color
Retouch/Refresh Color
Brazilian Blowout/Smoothing Services
Style /Blowout
Formal Style/Updo
Balayage
Highlights/Lowlights
Color Correction
Haircut
Lashes
Conditioning Treatment/ Split End Mend
Malibu treatment
โWork your magic, I trust you.โ
I have no idea
What day of the week/time of day works best for you to schedule appointments?
Is your hair colored, highlighted or bleached currently?
*
Please Select
Yes
No
If so, Is it box dye?
*
Please Select
Yes
No
When was the last time your hair was chemically treated? (This includes smoothing treatments, perms, relaxers, hair color, highlights,balayage, vivid, semi/Demi permanent ETC.) and what was used?
*
Do you have any allergies to certain ingredients or latex? If so, please specify.
Include brief but thorough summary of the chemical service history of your hair the last 5 years. (I.e โcolor and highlight approx every 4-6 weeks to cover grayโ
*
Have you started any new medications or been under anesthesia for any medical procedures in the last month?
*
How often do you shampoo your hair? Using what shampoo ?
Do you have a filter on your shower?
Please Select
Yes
No
Realistically, how much time are you able or willing to dedicate each day to styling/ and or hair care regimen?
How often are you wanting to come in for touch up appointments?
Please upload a current photo of your hair, in good lighting (standing next to window inside during daylight)
*
Browse Files
Drag and drop files here
Choose a file
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Please upload 1-2 photos of your inspiration or goal hair.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
DISCLAIMER, hair takes TIME, color takes TIME. You are paying me to make your hair goals come true and this process cannot under any circumstances be rushed. Do not schedule a hair appointment if you have other obligations that will interfere, you will be required to stay at the salon until the service is finished completely.
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Yes, I understand
Do you give your consent to (non identifying) photos of your hair being taken and or used in publication for marketing or education purposes?
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Yes, I consent to photos being taken and used for the purpose stated above.
No, I do not consent
Questions/Comments/Concerns/Anything youโd like to add?
๐ฟ๐๐๐๐๐ ๐๐๐๐๐๐ข ๐๐๐๐ ๐ข๐๐ ๐๐๐ ๐ (๐ถ๐พ๐พ๐ณ) ๐๐๐๐๐
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Please note a retainer will be due upon booking. Canโt wait to have you in my chair!
๐ฟ๐๐๐๐๐ ๐๐๐๐๐ 2-3 ๐๐๐๐๐๐๐๐ ๐๐๐ข๐ ๐๐๐ ๐๐๐๐๐๐๐๐.
๏ผณ๏ผต๏ผข๏ผญ๏ผฉ๏ผด
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