New client request form
I am now accepting new client request forms to make it easier before booking your appointments. This makes it to where I can see if your desired color is a good match with my style/techniques and services offered. These are required for new clients only and I will read over them and send you a message via text or Instagram to book your appointment! Thank you!
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
example@example.com
Birthday
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
MM-DD-YYYY
Instagram Profile
@instagramname
When are you looking to schedule your appointment in 2025?
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Hour Minutes
AM
PM
AM/PM Option
When was your last color service?
Is there anything you don’t like about your hair currently?
*
Please give me a detailed description on your color history. Example: What service you typically get done or any (artificial hair color / box dye in the last 3 years). Please be honest as this will help me keep your hair as healthy as possible through your coloring service.
*
Describe your hair texture and length (Fine, medium or thick)
*
What services are you interested in? (Please read description of services on my website)
Gray Coverage Base Color
Low Maintenance All Over Color
Lived in color
Max blonde color
Treatments/Haircut
K-Tip Extensions
Other
Please include front, side and back photos of your current hair (please take in proper lighting or outside)
Front
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Side
*
Browse Files
Drag and drop files here
Choose a file
Cancel
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
Please show these photos at hair appointment and notify me if any changes are made with your inspiration photo 24 hours before your appointment.
Cancel
of
*Please note that not every inspirational photo can be achieved in one session. It takes multi sessions in certain cases. Inspiration photos are ideas or goals. Not to be duplicated exactly, as to everyone’s hair is different. I will always try my best to get very close to what you want to achieve.
*
I have reviewed your service / price list on website and know they can increase yearly
*
I have reviewed your “policies” story highlight on your Instagram
*
A non refundable deposit is required to book/ hold any appointment. This amount will go towards your service at the end of your appointment. No appointment will be booked without a deposit.
*
It is required to cancel/reschedule your appointment 24 hours before your scheduled appointment. Failure to do so, your deposit will be non refundable
*
If for some reason I have to charge you a cancellation fee (which is 50% of your scheduled service) it is required to be sent. If not paid, I will not book you any future appointments.
*
As form of payment I only accept cash (exact), debit/credit or Apple pay
*
Signature
If you have any other questions or would like to talk more one on one please message me via Instagram or email. Would love to answer them for you or talk!
Thank you
Did anyone refer you? If so please list them below.
Continue
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E-mail
example@example.com
Should be Empty: