New Customer Registration Form

New Customer Registration Form

New Client Application:

Please read in full. This application makes it easier for me to reach out to potential new clients if I can accommodate you in the schedule. It will give me a better idea of your needs so that when availability comes up in my books you're contact information will be added to my client list which allows you to book through my website as it is closed to existing clients only. Review of applications only happens when there is flexibility in my books. My chair and shop is a sacred space I've created to share a safe space with others and time with clients so that they feel great when they leave which is very important to me to maintain. This will help me better to understand if I can fit your needs as a potential new client. Completion of this application doesn't guarantee an appointment if I'm unable to accommodate you in my current schedule to keep it fair to existing clients. You will receive a email whether I'm able to accommodate you or not. Failure to fill out the form in full with sincerity or mutual schedule conflict may mean denial of application. Looking forward to hearing from you and thank you for you patience!
Full Name

First NameLast Name
Phone Number (Preferably a cellphone)
Format: (000) 000-0000.
E-mail
example@example.com
Enter your birthday month and day if you'd like to receive a complimentary conditioning treatment:
Some rules apply: Check your email the week of your birthday and show email on the day of your appointment! We all deserve to be treated with a little more love and care on our birthdays! Enjoy a complimentary conditioning treatment paired with regular service when appointment is booked during your birthday week! Add this treatment to your appointment when scheduling. Complimentary for all clients as a thank you!
How did you hear about me?
If family member or friend please list name
Other
List what services you typically receive and are looking to receive in a visit:
Example: Men's cut, Haircut, color service etc.
What is your preferred time frame needed to book? This is a big deciding factor on whether I can accommodate you in the schedule.
What days are you able to make a appointment time work?
The type of water you use to wash your hair along with its pH can affect its appearance, health, impact hair loss, issues with hair damage, color application and long-term wear of certain color treatments. Listed below are some types of water you use to wash your hair or in frequently. Please select the primary type of water you hair is exposed to and/or used when cleansing your hair:

Other
If other was selected please list treatments you do for your water type:
Example: Malibu treatments, shower head filter, filtration system etc.
How frequently do you tend to get your hair done?

Other
If "other" was selected on last question please respond here on how long you space out appointments:
How frequently do you wash your hair?

Other
Use this space to describe you hair washing routine and if "other" was selected list frequency of hair wash days:
For optimal results in your hair goals and health a lot of the care at home plays the biggest factor in the integrity/health of your hair as you spend the most time with it. As a stylist that sees clients based on their needs it is important to me that my clients have a functional and custom haircare routine that best suites them personally. This information allows me to better understand the routine care of you hair. Please list products being currently used and at home product routine:
Product recommendations are made depending on service provided, texture of hair, porosity and desired look/style
Describe current issues or concerns you're having with your hair:
Example: Frizz, breakage, chemical/heat damage, curl/natural texture management, hair loss and root cause etc.
Integrity of the hair comes first! If any service is going to risk that there is typically a solution or alternative. This may mean multiple sessions and more in depth at home care to achieve desired goal or even being told its not feasible with hairs current state. Are you ok with this?
Cancellation Policy Agreement Updated card required for all clients to reserve appointment slot. Appointment reminder texts go out 72 hours in advance to avoid enforcing cancelation policy. A 50% charge of the service booked will be enforced for cancellations within 48 hours of the scheduled appointment. A 100% charge to any no-shows for the service booked. **No exceptions** By booking an appointment, you are agreeing to these terms. Thank you for your understanding.
Leave a breif description of your hairs history in the past 12 months:
Mainly color, chemical straighteners, perms etc. to the best of your knowledge
What would your dream hair experience look like to you and what have you not loved about past hair experiences?
Please read in full: Completion of application doesn't mean you will be accepted right away or at all. Updates on my Instagram page @AlysaKRomano are made on when I'm able to accept new clients. If I'm unable to accommodate you with the current schedule/booking it is to honor my regular clients schedule/booking. Contact will be made via email that is submitted to set up an appointment when I'm able to accommodate new clients in the schedule and I go in order of applications as submitted. Once you are able to book online all clients are required to have a card on file to book a appointment for cancellation policy listed on my website. A non-refundable $25 deposit is required for new clients first appointment but will be applied towards service. Thank you for your application and taking the time to respond to the best of your ability!
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