New Client Application

1

Name* This field is required.

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Area Code

Phone Number

4

How did you hear about The Pink Chair Salon?* This field is required.

Referral from friend or family

Facebook

Instagram

Google Search

5

What's the name of the friend/family who referred you?

6

What is your availability for appointments? (Click all that apply)

Weekday Mornings

Weekday Afternoons

Evenings

Saturdays

9

If getting hair services, what is your current hair length?

Short

Medium

Long

Extra Long

10

If getting Hair Color - in the past year or so, what is your hair's colour history?

All colour has been done in a salon

Has only been at home colour

A mix of at home colour and professional

I have not coloured my hair in 2+ years

Other

11

If getting Hair Color - when was the last time you coloured your hair?

13

If you have inspiration pictures for your appointment, please upload them here (Optional)Not Required

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

14

When are you looking to get an appointment?

Within the next week

1 - 2 weeks

3 - 4 weeks

Not for a month or so

15

Is there anything else you'd like to share?