Color Consultation Form
Name
*
First Name
Last Name
Email
*
example@example.com
Please Provide Your Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What service are you looking to get done?
Haircut Only
Custom Hair Color(balayage, highlights, lived-in)
Brazilian Blowout
Root Color Touch Up
Other
Please Provide a photo of your current hair. must be less than 1 month old
*
Browse Files
Drag and drop files here
Choose a file
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of
Please Provide an Inspiration Photo for what you are looking to achieve.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Provide a Brief Hair Color/Chemical History of the past 3 years
*
Are you currently taking any medications, if so, please indicate below
*
Do you understand that to secure an appointment, a credit card on file is required. Any cancellation made in less than 24 hours results in a 50% service charge applied to your card. Do you agree?
*
Yes
Please Provide your ideal booking schedule. Days of the week, hours of the day so we can do our best to accommodate your schedule.
*
If you are looking to book Custom Color Services it starts at $190 for a partial and $350+ for a full, depending on length and thickness. I provide beautiful results in half the traditional appointment time. Please confirm that this is within your budget to invest in your hair.
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Yes, this is within my budget.
Would you like to add on a luxurious deep conditioning treatment to your service, $30 or a Haircut: $60-$80
*
Yes, a Haircut
Yes, a Deep ConditioningTreatment $30
Yes, a Haircut and Treatment
Color Only Please
Please sign indicating everything above is true and you agrees with my polices. Signature
*
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