New Client Form
Hello! Thank you for your interest in booking with me! I am currently accepting a limited amount of new clients who desire a low maintenance, lived in color. If I feel we are a good match I will reach out within the week with my soonest availability.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
When was your last in salon color service?
*
How soon are you looking to schedule an appointment?
*
How often do you like to come in to the salon?
Every 2-3 months
Every 3-4 months
Every 4-6 months
Once a year
Do you have grey hairs to cover or darken your natural color with root touch ups/base color in between services?
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Yes
No
I'm interested in grey blending not full grey coverage
Please give a detailed hair color history from the past 3 years. Include services (the best to your ability).
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Have you had an ALL over darker color on your hair (in salon) within the past 2-3 years?
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Yes
No
Have you had box color, henna, or used overtone on your hair in the past?
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No
Yes I have used one of the above in the last 1-5 years
Yes over 5 years ago
I have virgin hair (hair that has never been colored)
Please check all that apply to describe your hair.
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Fine
Fine but a lot of hair
Medium Density
Thick
Coarse
Wavy
Frizzy
Curly
Would you like a haircut with your color service? (A trim is considered a haircut)
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Yes
No
Are you interested in hair extensions?
Yes
No
Please take a current hair photo in natural indirect lighting. Not in your bathroom or direct sunlight.
Front, back, side photo in natural indirect lighting
*
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Hair goal photo- only allow up to 2 please note that hair goals may not be achieved in one session with me and should be used as inspiration not replication. Lived in low maintenance hair typically takes up to 3 appointments since it is built in over time.
*
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How did you hear about me?
*
Referral
Instagram
Other
If you're a referral who referred you?
*
What days and times are you available during the week? I take clients Tuesday-Friday my last appointment is 3:30pm depending on service.
*
By signing below you acknowledge and agree to have a valid debit/credit card on file and give permission that it will be charged accordingly with the Rebel Luxe cancellation/no show policy.
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