New Guest Form

New Guest Form
Client's Name*

First NameLast Name
Client's Phone Number*
Client's Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Occupation*
How did you hear about us?*

FacebookTwitterInstagramYouTubeOnline AdvertisementGoogle SearchReferred by a friendReturning Guest after 12+ Months
If Referred by a friend please tell us who

Photos:

Upload a photo of your current hair below, and then add a photo of your inspiration style so we can better understand your goals. You can upload up to 4 photos for each.
Upload an Inspo image of your desired hair

You can upload multiple files here
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Upload an image of your current hair

You can upload multiple files here
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Notes for your stylist. Tell us what you love or don't love most about your inspiration photos, as well as any other additional information you would like your stylist to know.

Medications & Wellness Information
For your safety, please take a moment to review our Medication & Chemical Services Information sheet (located on page 5). If you are currently taking any of the medications listed, or anything similar, list them below. This helps us ensure your hair and scalp are cared for properly, and that we can provide the safest and best possible results.”
Please Review
Medications I am currently taking (if none, please write “none”):*

Photos: