Hair Extension
new client application form
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
What's your instagram handle?
example @jerickcohair
Have you ever had EXTENSIONS before?
*
yes
no
If yes, please specify when & what type
How long is your natural hair?
*
chin length
at, or just above the shoulders
at, or below the collar bone
near elbow or longer
Which best describes your natural hair?
*
fine
medium
coarse
How would you describe your natural hair density?
*
thin
medium
thick
I am looking to achieve...
*
length
thickness
both
Are you looking to book a color appointment as well?
*
yes!
no, just extensions
Please Upload your CURRENT hair
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please Upload your hair GOAL
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
KEEP IN MIND- Extensions are an INVESTMENT. A nonrefundable retainer will be required to secure your appointment... but don't worry! This will go TOWARDS your scheduled installation appointment. The remaining cost will be due the day of your appointment.
Please sign to acknowledge you have read the information regarding the nonrefundable retainer.
*
I will be reaching out to you in 2-5 days to discuss price, maintenance, upkeep, and all the fun things in between. See you soon!
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