New client request form

Hi, Welcome to Golden Light Beauty Co located within Heyday Collective; The Nest. I'm Caitlin and I want to first thank you for your interest in booking with me, it truly means so much! All new clients; as well as, existing guests looking for a significant change are required to fill out a new appointment request form. This ensures that we are not only a good fit for one another, but allows me to be able to properly book your services. Please allow 24-72 hours for a response via email. Any weekend/ holiday requests will be answered the following business day. Thank you so much for showing interest in booking with me, stay golden!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Birthday*

MonthDayYear
Date
What is your IG handle?
How did you hear about me?*
What services are you interested in receiving? *

Haircut/ BlowoutHighlights/ Lived-In ColorRoot Maintenance/ Grey CoverageBrazilian Blowout
What is your budget for the selected service(s)?*
How often do you get your hair cut?*

4-8 weeks8-12 weeks12+ weeks
How often do you get your hair colored?*

4-8 weeks8-12 weeks1-2 times per year
Have you ever had permanent haircoloring?*

YesNo
If you answered "Yes", when did you have it last?
How would you describe your hair texture?*

StraightWavyCurly
How would you describe your hair density?*

FineThinningMedium/ AverageThick/ Course
What is your current hair length?*

Ear LengthChin LengthShoulder LengthArmpit LengthMid-back or longer Length
What is your current hair color?*

BlackBrown/ BrunetteBlondePlatinum
What day(s) work best for you?*

MondayTuesdayThursdayFriday
What time(s) work best for you?*

Morning 10-12pmAfternoon 12-4pmEvening 4-8
Is there a specific date you would like your hair done by?*
Is there anything else you'd like me to know before moving forward on your appointment request?
Please upload 3 unfiltered images of your current hair. Front, sides & back.*

Cancelof
Please upload 1-3 images of your hair goals.*

Cancelof
Please read the following information below and sign to acknowledge it.*

I understand this is an appointment request only and that I will receive an E-MAIL in response to the requestI understand it will take 24-72 hours for an E-MAIL responseI agree to have photos of my hair taken and used for social media purposesI agree to reschedule any and all services if I am sickI agree to put my credit card on file for the allowed serviceI understand there is a strict 48 hour cancellation policy and anything within the 48 hours will be charged in fullI understand I will be receiving an email once the appointment is scheduled with instructions on where to park/ get into the building
Should be Empty: