Client Inquiry Form

Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
What service are you requesting?*

BlondingColorGray CoverageTonerHaircutBlow DryKeratin Treatment
What days are you available?*

ThursdayFridaySaturday
Have you used any of these on your hair within the last 3 years?*

Sun-inAt home color/box dyeHenna hair colorSplatPerm/relaxerSally’s color or bleachNone of the above
Any known allergies?*
Please upload a photo of your hair within the last month in natural lighting with no filter.*

Cancelof
Please upload an inspiration photo of what you want.*

Cancelof
CANCELATION POLICY

Cancellation within 48 hours or no showing an appointment will result in a fee equivalent to 40% of the full service amount. This fee must be settled prior to rescheduling.
I agree
PLEASE READ CAREFULLY

• I am aware that receiving any hair color or chemical service can result in a allergic reaction, regardless of whether I have had a treatment done before.

• I grant my hairstylist permission to color my hair or to perform chemical services, and I do not hold them responsible for any adverse health reactions or undesired results.

• I acknowledge that this consent will cover the entire service as well as subsequent services I may have.

Signature Date
Should be Empty: