New Client Waitlist

1
Name
First Name
Last Name
2
Phone Number
Please enter a valid phone number.
3
Email
example@example.com
4
What services are you interested at receiving at Polished Beauty?
Nail Services
Pedicure Services
Facial Services
Waxing Services
Virtual Treatment Room/ Retail Products
5
Nail ServicesWhich nail services are you most interested in? Check if applicable
Manicure (Regular or Gel polish)
Hard Gel Overlay
Dip Powder
Gel-x Nail Extension
Prefer recommendations from a Nail Care Specialist
Not interest in Nail Services
6
Pedicure ServicesWhich pedicure services are you most interested in? Check if applicable
Total Hydration+ Foot Peel Pedicure (The ultimate foot care treatment! Perfect for those with dry, callus, cracked or peeling skin. Includes in-depth callus care, exfoliation treatment, followed by our intense hydration treatment +massage)
Total Hydration (Perfect for those with very dry skin! Includes callus care, exfoliation followed by our intense hydration treatment +massage)
Foot Peel Pedicure (Perfect for those with dry, callus and/or peeling skin. Includes In-depth callus care peel treatment, hydrating mask +massage)
Spa Pedicure (callus care, exfoliation, hydrating mask, massage)
Foot Renewal (callus care, exfoliation)
Prefer recommendations from a Pedicure Specialist
Not interest in Pedicure Services
7
Facial ServicesWhich Facial services are you most interested in? Check if applicable
New Client Custom Blend Facial Treatment
Seasonal Promo Facial Treatment
Prefer recommendations from my Esthetician
Not interested in Facial Services
8
Waxing ServicesWhich facial waxing services are you interested in? Check if applicable
Brow wax
Brow wax & Tint
Lip wax
Chin wax
Prefer recommendations from my Esthetician
Not interest in Waxing services
Other
9
Would you prefer a specific service provider?
Any provider
Briana Walker
Brittany Walker
10
Are you Referred by anyone or have a Gift Certificate?
Yes I am a referral!
Yes I have a gift card!
Both
Just looking for a NEW Salon!
11
Thanks so much for your interest in Polished Beauty Spa Boutique! Are there any details you would like to add to your New Client waitlist request?
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