New Client Registration Form

New Client Consultation Form:

Flower Power Hair LLC
What is your Full Name?*

First NameLast Name
Date of Birth-if you want a birthday coupon
Pronouns
ex. she/her
Address- used for Christmas cards

Street Address

Street Address Line 2

CityPost Code

Phone Number
Instagram Handle? Let's be friends!
I try to respond to new appointment requests within the day. If I don't you can message me here!
Phone Number
E-mail address*
I use email to confirm your appointment.
When did you last have a haircut?*

Within the month1-2 months ago2-4 months ago4-6 months agoover 6 months
When did you last have your hair colored?*

Within the month1-2 months ago2-4 months ago4-6 months agoMore than 6 monthsI've never colored my hair
If you have colored your hair, is it professional color?
ex. box color from Walgreens
Pick which one describes your hair best:*

Fine/thinThickCoarseCurly
Describe your hair's density:*

Very thin/ baldingThinAverageThick
What services are you looking to book at our first appointment?*

Highlights/ balayageColor correctionExtensionsWeekly styleHaircutDeep conditioning treatmentWaxOther
Select the days/times you are available. We try to get you in as soon as possible. The more available you are, the faster you will get booked!

Weekdays 10am-1pmWeekdays 1pm-4pmWeeknights 5pm-8pmI'm flexible with anything
What is your budget for this appointment?*
This helps us decide which stylist to place you with
Is there anything else you'd like me to know?
ex. health conditions/ allergies; I want to make you comfy
Please upload 1-2 pictures of your hair now, as it is most currently UNFILTERED. Please make sure to include the back and the front.*

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Please upload 1-2 photos of your hair Inspo and goals. These will help me know what color to have for you and to know exactly what you want. *

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Are you on any medication? Certain medications effect color, this is to formulate better for your desired result.
this can effect color
Are you pregnant or breast-feeding?
this also can effect color
By submitting this form, I understand I am getting a price quote and submitting an appointment request only. I will receive appointment dates/times to choose from. Once Betty approves your appointment, it can be booked. New guests are usually booked within 1-3 weeks of their request, but certain times of the year it could be an upward of 5-6 weeks. I understand we have a strict 24 hour cancellation policy. If I cancel within 24 hours, you may be banned from booking again. I understand by signing this form everything is to the best of the knowledge.
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New Client Consultation Form: