New Client Wait List Application
Hi! Thank you for your interest in scheduling an appointment! Please complete this form to be added to my wait list for rebel rebel hair studio. I will contact you by your preferred method if/when an appointment time that fits your needs becomes available. Wait times vary based on current schedule and services requested. Not all services or times will have availability. If you have additional questions please contact me directly (contact info on website and Instagram)
Name
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First Name
Last Name
Pronouns
*
Email
*
Phone Number
*
What is the prefered method to reach you?
*
Email
Phone
Text
How did you hear about rebel rebel hair studio?
Friend/Family
Instagram
TikTok
Google
Yelp
Intentionalist.com
Other
If you answered "Friend/Family" above, who can I thank for the referral?
I understand that it is required for me to be vaccinated and boosted for Covid19 and to wear an appropriate mask at my appointment
*
Yes
I understand that rebel rebel hair studio is a queer-owned salon and a safe space. I understand that racism, homophobia, transphobia, sexism, ableism, body shaming, sexual harassment, violence, weapons, or other harmful behaviors are NOT allowed
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Yes
What services are you interested in? (Check all that apply)
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Haircut
Grey coverage or all-over color
Highlights
Balayage
Rainbow or vivid color
Not sure
Other
What are your hair goals for this appointment? Please briefly describe the cut and/or color you are looking to achieve
*
Please briefly describe how your hair is now (color, length, thickness, curl pattern, current style, etc)
*
Please upload an example photo of the hair you want to achieve
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Please upload a current photo of your hair
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How often do you typically get your hair done in the salon?
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Every 4-8 weeks
Every 8-12 weeks
Every 12-16 weeks
Once or twice a year
What days and times are you typically available for a hair appointment? (My hours are Tuesday through Friday 11-6. Please note: late day(4pm-6pm) and Friday times book up quickly and may not be available to new clients)
*
Have you ever had an allergic reaction to hair color or products?
Yes
No
Not sure
Is there anything else you'd like me to know about you or your hair? Any special accommodations you need for an appointment? (We will do a full consultation at your appointment)
Submit
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