Client Application Form

Client Details:
Full Name*

First NameLast Name
Phone Number*
E-mail
example@example.com
Best way to contact you?*

TextPhone callEmail
What service are you looking to have done? All Chemical services require a $50 deposit which will go towards your service total.*

HaircutSolid ColorRoot ColorHighlights/ BalayageExtensionsMakeup ApplicationUpdo Styling
When was the last time you colored your hair? *
Have you ever colored your hair at home? If so, how long ago?*
How often would you like to have your hair done?*

3-4 weeks5-7 weeks8-10 weeks12+ weeks
Upload a photo of the back of your current hair in natural lighting. (No filters please)*

Cancelof
Upload your hair inspiration photo.*

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How would you describe your hair density? (Check all that apply)*

ThinMediumThickVery Thick
How would you describe your hair texture? (Check all that apply)*

FineMediumCoarseCurly
Do you have any allergies/ sensitivities/medications that may affect your color service?*
What days work best for you? (Check all that apply)*

TuesdayWednesdayThursdayFridy
What times work best for you?*

MorningAfternoon
Would you like to book...*

ASAP, sending my depositNeed an estimate first please
Deposit/Venmo:

$50 Deposit for chemical services (not cuts) Can pay deposit through Venmo- @Ruby-Zermeno
Should be Empty:

Deposit/Venmo: