New Color Request Form
Thank you for considering me as your color specialist! I can’t wait to work with you toward your color goals. I will review this and send you a message via text or Instagram to review your options.
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
How did you find me?
*
What service are you inquiring about?
*
Please Select
Partial foil blonde
Partial foil Brunette
Full foil blonde
Full foil brunette
Creative Color/Balayage
Platinum Card/Root to End Blonde
Platinum Card Retouch/ 1” max regrowth
All Over Color/Root Color Retouch 1-1.5” regrowth
Color Correction
What is your Availability?
*
9-12AM
12-3PM
3-6PM
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What shampoo & conditioner do you use regularly? (This may effect the coloring process)
*
Tell me a little about your hair goals for this appointment and going forward?
*
Tell me a little about your hair currently or anything that you had done in which you did not like?
*
In the last 3 years have you had any of the following…?
*
Yes
No
Unsure
Dark Color
Relaxer
Perm
Henna
Photos
Please include front, side and back photos of your current hair, preferably in outdoor lighting.
Front
*
Browse Files
Drag and drop files here
Choose a file
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of
Side
*
Browse Files
Drag and drop files here
Choose a file
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of
Back
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Hair color inspiration photo
*
Browse Files
Drag and drop files here
Choose a file
Notify me if any changes are made with your inspiration photo 24 hours before your appointment.
Cancel
of
Extra Color/Cut Inspiration Photo
Browse Files
Drag and drop files here
Choose a file
Notify me if any changes are made with your inspiration photo 24 hours before your appointment.
Cancel
of
By checking the boxes below you are agreeing to the terms and policies on Hair by Jessica’s Service website. ( www.direct.me/hairbyjess )
Yes, I agree to the terms.
May take multiple sessions to achieve desired color.
Read & reviewed prices online.
Must confirm appointment & pay the deposit via the GlossGenius link.
Read and understand the cancellation policy posted online.
Questions…
or would like to talk more one on one, please contact me via Instagram @_hair_by_jessica or text (907) 671-9660
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