New Client Profile

New Client Profile

Services provided by Lezleigh Kerley
Personal Info
Name

FirstLast
Pronunciation
Gender
Pronouns
Mobile Number
Format: (000) 000-0000.
Mailing Address

Address

Apt, Ste, Unit

CityState

Zip
Birthday
How did you hear about me?

Referral
Do you have any specific allergies I should be aware of?
I may need you to come in for a short appointment 48 hours PRIOR to your scheduled service for a PATCH TEST

Service Request
What service(s) would you like to have done? (Select all that apply)
Briefly describe what you would like to have done during your appointment?
Upload a current photo of your hair FRONT and BACK, ALL DOWN - in natural lighting (near a window)

Cancelof
Upload any "inspo pics" of what you're looking to have done or any pictures of yourself when you loved your hair.

Cancelof

Appointment Preferences
Please note that I book out about a month in advance, earlier appointment times are typically based on a cancellation list.
Preferred appointment day/time?
Is there a specific day/time that works best for your schedule?
What do you prefer?
Would you like me to add you to my cancellation list?

Have you thoroughly read and agree to the PRICE LIST? Do you understand that my service prices include average color and time. An additional $20-$25 may apply for extra color, density or extended regrowth?
Have you reviewed and agree to the POLICIES listed, and are aware that updates may occur?
I am an individual salon owner and operator, and because my work requires both of my hands, I typically review submissions outside of my regular work hours. I strive to respond within 2-3 business days. I utilize a Google Voice number for communications and only reply on workdays.
My work hours are:
Wed-Sun 10-5
Should be Empty:

Personal Info