Pretty Skin Artistry Appointment Request

Pretty Skin Artistry Appointment Request
What is your full name*

First NameLast Name
Pronoun
What is your preferred email address?*
example@example.com
What is your current physical mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your cell phone number?*
Please enter a valid phone number.
When is your birthday? *

MonthDayYear
Date
What service would you like to book?*

Hydrating FacialAcne FacialPretty Skin FacialMicrodermabrasionChemical PeelCustom FacialBack FacialAnti-Aging FacialFacial of the MonthBrow LaminationBrow TintBrow ShapingLash LiftLash TintOther
Do you use Retin-A, Renova, or Retinol Derivative products?*

YesNo
When was the last time you had a facial service?*

less than 2 weeks ago1-4 months4-6 months6+ months
When was the last time you had a brow/lash service?*

less than 8 weeks2-4 months4-6 months6+ months
What days/ times are you available? We will make every effort to get you in as soon as possible in line with the information you enter here. The more available you are, the faster we will be able to get you in.*

Weekdays 10AM-12PMWeekdays 12PM-6PMWeekends 10AM-12PMWeekends 12PM-6PM
Is there anything else we should know before booking your appointment?
Cancellation Policy: I understand that if I need to cancel or reschedule my appointment I need to do so with a minimum of 24 hours notice. If I do not cancel my appointment within the requested time frame, I understand a fee representing 50% of each service missed will be added to my profile and must be paid before I book another appointment. For example, if you were booked for a Pretty Skin Facial service, the cancellation penalty would be $30.*

I agree
Retail Refund Policy: I understand that I may exchange any unopened retail product within 14 days of purchase. My esthetician will suggest an alternative product to meet my needs and the value of the product I am returning will be applied towards the new product. I understand that cash or credit back for returned retail products isn't an option. I understand that retail returns can't be used as a service credit.*

I agree
Should be Empty: