Root'd New Client Submissions

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email* This field is required.
example@example.com
4
Which stylist do you prefer to schedule with?* This field is required.
Please Select
Please Select
First Available
Daisy
Tessa
Sammie
Emily
Jessica
5
Are you wishing to schedule an appointment for color* This field is required.
Yes
NO
6
Are you wishing to schedule a Haircut only?
Yes
No
7
Which day of the week works best for you?* This field is required.Hours of Operation: Tuesday 10-5 Wednesday 12-7 Thursday 12-7 Friday 9-4 Saturday 9-3
Tuesday
Wednesday
Thursday
Friday
Saturday
Any Day
8
Which time of the day do you prefer?* This field is required.Hours of Operation: Tuesday 10-5 Wednesday 12-7 Thursday 12-7 Friday 9-5 Saturday 9-3
Morning
Afternoon
Evenings
Any
9
Are you wising to schedule one of the following?
Brazilian Blowout
Handtied Extensions
10
Please upload a photo of the front of your hair (selfie is ok, be sure to get all the hair in the photo from the top of your head to your ends. Please not in direct sunlight or in your car)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
11
Please upload a photo of the back of your hair. (selfie in the mirror of the back is totally ok. Be sure to get all of your hair in this photo. Not in direct sunlight or in your car)* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
12
Have you box colored your hair in the past 24 months?* This field is required.
Yes
NO
13
Do you wish to make dramatic changes to your current hair?* This field is required.
Yes, if yes please upload a photo of your goal look.
No, just refresh what I currently have
14
Goal photo: this is what you are wishing to work towards so we can determine the services that need to be booked. * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
15
Please add any notes you feel like we need to know to make your first visit with us super seamless.
16
Please allow at least 48 hours notice for all cancellations, make changes to the appointment or reschedule of appointment. A cancellation fee of 50 % of the scheduled appointment will be charged if you cancel, make changes to the appointment or reschedule within the 48 hour window. A cancellation fee of 100% of the scheduled appointment will be charged if the appointment is no showed. Fee will be charged to the card held on file. In order to receive the best possible service, please arrive 15 minutes early. For arrivals 15 minutes or later than the scheduled appointment may result in an automatic cancellation of the service and will be charged for 100% of the booked service. For all color services please arrive with clean dry hair to get maximum results. In the event you arrive with unclean or wet hair additional fees may apply. We love your minis and friends, but we ask that you do not bring them to your appointment for their safety and crowding purposes. Please schedule your appointment for when you are able to come in alone, or you will respectfully be asked to reschedule.* This field is required.
Agree to the above policies
Do not agree to proceed forward.
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