Color Appointment Request Form

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Name* This field is required.First, please provide me with some details about you.
First Name
Last Name
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Phone Number* This field is required.
Area Code
Phone Number
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It is SO nice to meet you!

My name is Jenna and I am so excited to hear about your specific hair goals and what you are looking to acheive from your hair color appointment!

I have a couple of quick questions for you to help me assess the current state of your natural hair and your overall goals for your hair color.
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What is it that has you interested in a hair color appointment?* This field is required.This is a chance for you to tell me a little more about the WHY behind your desire to sit in my chair and experience a hair color appointment or a little more about your hair that you feel is important to note!
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Has your hair been colored in the last 5 years?* This field is required.Whether colored by yourself at home or colored by a professional.
YesNo
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Have you used boxed hair color in the last 5 years?* This field is required.This includes any hair color that you purchased yourself without a professional cosmetology license. This includes any hair color purchased from any major retailer: Walmart, Target, Sallys, etc.
Yes
No
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Please provide me with a 5 year history of your previous hair color.* This field is required.Hair color is a science and it is important for me to understand the prior history of your hair to better assist me in creating a hair color game plan and timeline for achieving your color goals.
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Which of the following best describes your hair texture?* This field is required.
Fine
Medium
Thick
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What days and times typically work best for your schedule?* This field is required.I work behind the chair on select days only. Please tell me which days and times work best for your schedule to help better assist me in scheduling your hair color appointment.
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Show Me Your Current HairPlease upload TWO photos of your natural hair in it's current state. + Must be a photo of current hair + Must have clear view of front + back of hair (NO selfies) + Take photo in natural lighting (no flash please) + No filters
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Select files to upload
Max. file size: 10.6MB
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Show Me Your D R E A M HairPlease upload TWO photos for reference during your consultation +Two photos of your dream hair color
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Financial Expectations* This field is required.I require a $50 nonrefundable retainer to secure your color appointment. This total will apply to the total cost of your hair color appointment. Pricing Starts at: Base color- $100 Mini Dimensional- $125 Dimensional Color- $175 Transformational Color- $275 Full Color- $150 3T (Trim, Toner, Treatment)- $75 This total is a starting total and may increase depending on the amount of product needed to complete your desired look. Additional product charges begin at $25 per bowl.
I Understand
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Cancellation Policy* This field is required.Cancellation/Reschedule: If you choose to cancel and/or reschedule your appointment within 48 hours of your service, you will be charged 50% of the appointment total. Your card on file will be charged. A new appointment cannot be scheduled until the cancellation fee is paid. Late: If you are more than 15 minutes late to your appointment, you are choosing to forfeit your appointment time. Your appointment will be cancelled. You must pay the cancellation fee before you will be able to rebook your appointment. No Call/No Show: If you choose to no call/no show any scheduled service, you will be charged 100% of the scheduled service. Your card on file will be charged.
I Understand
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Credit Card* This field is required.Please input your 1. Name on card 2. Card Number 3. Card Expiration Date 4. Card Security Code and 5. Billing Address below. Your deposit will not be charged until appointment is approved & scheduled by me.
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Signature* This field is required.By submitting this application I understand and agree to all of the previously stated expectations, commitments, and policies.
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