Appointment Request

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
Preferred way of communication* This field is required.
Call
Text
E-mail
5
What day's of week are best for you?* This field is required.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
6
Do you have a preferred time frame?* This field is required.
Mornings
Afternoon
Evenings
Any time
7
Preferred appointment date* This field is required.
Date
Year
Month
Day
8
What services are you looking to have done?* This field is required.Check all that apply.
Consultation
Blonding
Hair cut
All over color
Gray coverage
Extensions
Brazilian Blowout
Shampoo + style
Event Up-Do
Other
9
Do you have a stylist in mind?* This field is required.
Please Select
Please Select
Any Stylist
Any Esthetician
Any Nail Tech
Ashley Hamby (Owner/Hairstylist)
Keira Fry (Hairstylist)
Eryn Thomas (Hairstylist)
Kaitlin Jones (Hairstylist)
Jessica Coleman (Hairstylist)
Haley Carpenter (Fine line tattoos/Perm. make-up)
Hannah Clemons (Hairstylist)
Kyla Holthaus (Hairstylist)
Katrina Roberts (Hairstylist)
Emma Swiderski (Hairstylist)
Emma Cooper (Esthetician)
Emma Salchak (Nail Tech)
Jennifer Jester (Hairstylist)
Kenzie Bailes (Hairstylist)
Ly Nguyen (Esthetician)
Maddison Stamcoff (Hairstylist)
Natalie Bynum (Hairstylist)
Savanna Greene (Hairstylist)
Savanna Russo (Nail Tech)
Alayna Jacobs (Hairstylist)
Sierra Tacey (Hairstylist)
Sydney Wright (Hairstylist)
Brad Pant (Resculpt, botox)
Liz Calhoun (Resculpt, botox)
Lauren Wright (Hairstylist)
Tera Wombold (Hairstylist)
10
When was your last hair service?* This field is required.
11
Do you have permanent hair color on your hair?* This field is required.
12
Has you hair ever been box dyed or colored at home?* This field is required.
13
Do you have any grey hair?* This field is required.
14
Are you interested in Bellami Pro hair extensions?* This field is required.
15
How would you describe your hair? Check ALL that apply.* This field is required.
Fine
Medium
Thick
Coarse
Straight
Wavy
Curly
Dry
Oily
Damaged
16
Upload a photo of your current hair in natural lighting. No selfies or filters.* This field is required.this will help tremendously to ensure we get you set up with a stylist that best suites your need, and that we book you for the correct amount of time needed to meet your hair goal.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
17
Upload a photo of your hair inspiration: * This field is required.It will help tremendously to ensure we get you set up with a stylist that best suites your need, and we book you for the correct amount of time needed to meet your hair goal.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
18
*We require a minimum of 24-hours should you need to cancel or change your appointment. Should you cancel, no-show, or change your appointment with less than 24 hours notice, you will be charged 50% of the scheduled appointment cost. Do you accept our cancellation policy? ** This field is required.
YESNO
19
OKAY, last question.... How did you find us?* This field is required.
Facebook
Instagram
Google
Referral
Other
20
Please allow us 24-48 hours for someone to be in touch with you. In the mean time follow us on Instagram for hair inspo, and feel free to DM us with any questions. We cant wait to see you in the salon!!

**PLEASE NOTE, IF SUBMITED ON A SATURDAY, SUNDAY OR MONDAY. YOU WILL HEAR BACK FROM US ON TUESDAY DURING OUR RECEPTIONIST HOURS **
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