New Client Form

1
What is your full name?* This field is required.
First Name
Last Name
2
Preferred pronoun?
She/Her
He/Him
They/Them
She/They
He/They
3
What is your email address? * This field is required.
Please note, we may be reaching out by email to confirm your appointment
4
Phone Number* This field is required.
Please note, we may respond by telephone/text to confirm your appointment
5
How did you hear about us?* This field is required.
Please Select
Please Select
Referral
Instagram
Facebook
Yelp
Google Search
Other
6
What stylist are you looking to book your appointment with?
Please Select
Please Select
No preference/first available
Angie
Kirsten
Kendra
Elizabeth
Cynthia
Jade
7
What is your budget for this requested appointment?* This field is required.
This will help us determine what stylist and services to book you
8
When is the last time you had your hair cut?* This field is required.
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
9
When is the last time you had your hair colored?* This field is required.
I've never colored my hair
Less than 4 weeks ago
1-2 months ago
2-4 months ago
4-6 months ago
6 months+
10
What services do you you generally receive currently?* This field is required.
Haircut
Deva Cut
Clipper cut (fades & tapers)
Clipper cut (with scissor work)
Beard work (trim, blend, razor line)
Weekly styling services
Silk press
Steam treatments
Professional conditioning treatments
Chemical smoothing treatments
Chemical relaxer
Perm
Hair extensions
Gray coverage hair color
Overall hair color shift without gray coverage
Hi-lights
Balayage blonding
Bleaching/extensive blonding
Vivids color (fun color all over or in select areas)
Live-In Color
Other
11
What type of extensions have you worn most recently or are you wearing now?* This field is required.
Micro-link weft application
Tape-In application
Beaded application
Fusion application
Sewn-in application
Temporary/clip-in extensions
Unsure of application method
12
Do you currently have extensions installed in your hair?* This field is required.
Yes
No
13
How would you describe your hair strand texture? Select as many as apply.* This field is required.
Fine
Thick
Coarse
Smooth
Rough
Mainly straight
Wavy (type 2)
Curly (type 3)
Coily/Kinky (type 4)
14
Where does the longest length of your hair fall on your body?
Ultra Short/Clippered
Collarbone
Chin
Underarm Crease
Bra Strap
Waist
15
How would you describe your hair density?* This field is required.
Very thin/actively thinning
Thin
Medium/average
Thick
Extremely Thick
16
What services are you looking to book at your first appointment?
Haircut
Curly cut
Painted Curls
Clipper cut (fades & tapers)
Clipper cut (with scissor work)
Beard work (trim, blend, razor line)
Weekly styling services
Silk press
Professional conditioning treatments
Hair extensions
Gray coverage hair color
Overall hair color shift without gray coverage
Hi-lights
Lived-In Color (low maintenance, rooted, modern looking color)
Balayage blonding
Bleaching/extensive blonding
Vivids color (fun color all over or in select areas)
Color correction (Ex: Going from very dark to light, vice versa, or having many colors in the hair and desiring to go one color)
Other
17
What are your goals with hair extensions?
I'd like my hair to be as long as possible
I'd like my hair to be a 2"-3" longer than it is now
I'd like my hair to 4"-6" longer than it is now
I'm looking to blend a haircut I'm growing out
My hair is thin and increasing density is a primary concern
18
Tell us more about why you are requesting a color correction?* This field is required.
19
Tell me more about your goals with your color service? What would be your ideal outcome?* This field is required.
20
Have you ever had a reaction to haircolor or products?* This field is required.
Please Select
Please Select
No
Yes
21
Please describe:
22
What days/times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.* This field is required.
Weekdays 9am-12pm
Weekdays 12pm-4pm
Weeknights 4pm-8pm
Saturdays 9am-12pm
Saturdays 12pm-4pm
I will make anything work, I just need to get in ASAP
23
Is there anything else we should know before booking your appointment?
24
Please upload 2-3 photos of your hair as it looks today. We would like to see it from the back and the front, unfiltered.* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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25
Please upload 1-2 photos of your hair goals. You can find inspiration photos through google image search, Instagram, Pinterest or anywhere else you've seen hair you admire. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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26
By completing this form, I am submitting an appointment request and pricing inquiry. In response, I will receive an email with an appointment time options and date option and a general price range.

Your appointment in salon will begin with a 15-30 minute full consultation to refine the plan for service. We may request you visit for an in-person consultation/strand test prior to booking the service.

Generally, new guests are able to be seen within 1 day to 3 weeks of appointment submission request, but guests with limited availability may have to wait up to 4 or more weeks to be seen.

I understand that Melange has a strict 48 hour cancellation policy, and if I do cancel my appointment with less than 48 hours notice, I may be charged for the appointment and banned from booking future appointments with the salon.

By clicking the submit button below, I agree to these terms.
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