New Client Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Are you interested in making an Extensions appointment?* This field is required.
YESNO
5
Have you worn Extensions before?* This field is required.
YESNO
6
What type of Extensions?* This field is required.
Hand Tied/Beaded Weft
I-tip/Kertain
Tape-In
7
What are your hair goals?* This field is required.
Volume
Length & Volume
New Haircolor Transformation
Color Refresh
8
I'm aware Extensions require maintenance that includes blowdrying, daily brushing, using salon quality products.* This field is required.
YESNO
9
Upload photos of inspiration of your dream hair* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
10
Upload photos of your current hair(make sure to include all of your hair in the photo)* This field is required.Does not have to be your best selfie, just to get an idea for timing and goals
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Are you interested in making a low maintenance color appointment?* This field is required.
YESNO
12
What services would you like to have done?* This field is required.
Lived in Highlights
Grey Coverage
Full Transformation(much lighter)
Color Correction
Haircut
13
Tell me about your hair history for the past few years. What services are you currently having done? What are your struggles with your hair?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
14
Tell me a little about your dream hair.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
15
What is your current hair routine? What products are you currently using?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
16
How often are you hoping to schedule maintenance appointments?* This field is required.
4-6 weeks
8-10 weeks
6-8 weeks
12 weeks+
17
Upload photos of your Dream Hair Inspiration* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
Upload photos of your current hair. One overall and one closer to the roots.* This field is required.It doesn't have to be your best selfie, just to get an idea of timing.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
19
When is your availability?* This field is required.
10am - 12pm
1pm- 4pm
Wednesday
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Row 0, Column 1
Thursday
Row 1, Column 0
Row 1, Column 1
Wednesday
Thursday
10am - 12pm
Row 0, Column 0
1pm- 4pm
Row 0, Column 1
10am - 12pm
Row 1, Column 0
1pm- 4pm
Row 1, Column 1
1 of 2
20
How do you hear about Claire?* This field is required.
Instagram
Facebook
Website
Referral
21
Who referred you, so Claire can thank them!* This field is required.
Should be Empty: