NEW CLIENT REQUEST FORM

1

PLEASE READ!

Thank you so much for wanting to book! Only fill this form out if you are serious about getting services done with Adam.

He is only accepting clients for Lived In Color, Color Transformations & Extensions.

Consultation fee is $25 and will go towards the total cost if you end up booking an appointment. $25 will be paid before the consultation

2

Name

First Name

Last Namle

3

Email'

example@example.com

4

Phone Number

Please enter a valid phone number.

5

How did you find Adam?

6

What city and state do you currently live in?

7

What are you looking to get done?

Lived In Color

Extensions

Color Transformation

Other

8

Has your hair always been professionally done?

Yes

No

9

Please upload pictures of your current hair from the front!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

10

Please upload pictures of your current hair from the back!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Upload images of your hair goals and inspiration!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

What days best suit your availability?

Tuesday

Thursday

Friday

Saturday

13

What time of day works best for you?

Morning 9am-12pm

Afternoon 12pm-4pm

Either

Other

14

Thank you so much for submitting to Adam's waitlist! You will receive a text from Adam if he decides you are the right fit for his business! You can find all his prices and other information on his website. adamhairmakeup.com