New Client Intake Form

I'm so glad you're here. This form helps me get to know you and your hair goals so I can create the best experience for you. Take your time filling it out, and if you're unsure about anything, dont worry. We'll go over everything together at your appointment.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Are you interested in color or extensions?

Hair ExtensionsHair ColorBoth

Please provide current images of your hair in natural light (outside or near a window) *

Please Submit inspiration pics for your hair. This can be for length, and or color*

Please give me a brief description of what you'd like to achieve with your hair. This can be for extensions, color, or both.

Thank you for taking the time to fill out this intake form. If you're interested in extensions I will follow up with you to schedule a formal consultation via phone call. If you're interested in color only you are welcome to schedule directly through my online booking portal. If you have any questions or issues filling out this form you can contact me directly via text at (904)852-5886 or visit my website for more information.

Haley's Website

Direct Online Booking