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Appointment Request Form
Please fill this out if you’d like to schedule an appointment with me!
8
Questions
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1
Please fill out your name below!
*
This field is required.
First Name
Last Name
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2
What is your phone number?
*
This field is required.
This will be used to contact you about your appointment 🤍
Please enter a valid phone number.
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3
Great! Now, what services are you interested in booking?
*
This field is required.
Haircut
Hair color or toner
Hair lightening (highlights, balayage etc)
Eyelash extensions
Hair treatment
Wash + style
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4
If booking a haircut other than a trim, hair color or lightening service, please upload one or two pictures of your current hair in the most natural lighting possible :)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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5
Now, add any inspiration pictures you have! (If applicable)
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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6
How far out are you wanting to book?
*
This field is required.
For example: ASAP, 2 weeks etc
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7
Almost done! What are your preferred days and times for appointments? I am available Tuesday, Thursday, and Saturday.
*
This field is required.
For example: Tuesday, 8am-11am
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8
Last question :) were you referred to me by anyone?
First Name
Last Name
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Appt Request
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