New Client Request Form

New Client Request Form
Client's Name*

First NameLast Name
Client's Phone Number*
Client's Email Address*
example@example.com
Preferred method of contact?

TextPhone CallEmail
In what timeframe are you looking to schedule for?*

Within the next 2 weeksWithin the next mothFlexible - First available (no specific timeframe)
Select a hair service*

Signature Curly CutAll over ColorBalayage or Highlights (Partial or Full)SilkpressOther
Please tell me about your current hair. Any complaints, concerns and/or any situations that may affect the outcome of your service? *
Let's chat about your hair history, select all that apply within the last 1-3 years.*

RelaxerKeratin or Smoothing TreatmentsSemi Permanent colorLightner(bleach)Permanent colorHennaNone of the above
When did you last visit a hair salon?

MonthDayYear
Date
Which Products are you using?*

ProfessionalDrugstoreA mix of both
Do you have a current haircare routine?*

YesNo
How would you like to schedule your consultation?

In personVirtual
A Brief summary of what your ultimate goals are for your hair.
Now Let's take a look!
Please attach a photo of your current hair.

Cancelof
Please attach a photo of your hair inspiration. (if applicable)

Cancelof
Here are a few things to note when scheduling appointments;

All new color clients require a consultation before scheduling any color appointments.

Color is an investment, please be ready to commit to a maintenance routine and schedule.

I am committed to giving each and every guest an experience and I will always strive to do my best at creating the looks you love!

I look forward to having each of you in my space!
How did you hear about us?

FacebookTwitterInstagramYouTubeOnline AdvertisementGoogle SearchReferred by a friendNewspaper/MagazineOther
Should be Empty:

New Client Request Form

Now Let's take a look!