New Client Appointment Request

New Client Appointment Request

Please answer all questions to the best of your ability
Full Name*

First NameLast Name
Email Address
example@example.com
Phone Number*
What type of hair service are you interested in?*
When was your last color service?*
Please give me a detailed description on your color history. Example: What service you typically get done or any (artificial hair color / box dye in the last 3 years). Please be honest as this will help me keep your hair as healthy as possible through your coloring service.*
Describe your hair: Fine, medium, thick? Straight, wavy, curly? Short, medium, long? Healthy, damaged, unsure?*
What are the things that you love about your hair?
What are the things you don't like about your hair?
Do you have any concerns about your hair or scalp?*
Please upload a photo below of the front, side and back of your current hair.
Front of hair*

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Side of hair

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Back of hair*

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Please upload a photo below of your color and or cut inspiration.
Inspiration photo*

Please show these photos at hair appointment and notify me if any changes are made with your inspiration photo 24 hours before your appointment.
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Inspiration photo

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*Please note that not every inspirational photo can be achieved in one session. It takes multi sessions in certain cases. Inspiration photos are ideas or goals. Not to be duplicated exactly, as to everyone’s hair is different. I will always try my best to get very close to what you want to achieve.
How did you hear about me?*

FacebookInstagramOnline AdvertisementGoogle SearchReferred by a friendOther
If you were referred by a friend, please enter their name below.
I understand it may take multiple sessions to get to my desired hair color*

Yes, I understand it may take multiple sessions to get to my desired hair color.
I have reviewed your service / price list on your booking site.*

Yes, I have seen and reviewed service/price list on your booking site and understand that these are base prices. They can go up depending on amount of color/lightener used
I have reviewed your “policies” on your booking site.*

Yes, I have seen and reviewed your “policies” on your booking site (Cancellation policy, late policy and booking policy).
Date Signed*

MonthDayYear
Date
Client's Signature

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I will do my best to contact you within 48hours to schedule your appointment. If you have any questions or would like to speak with me before then, then please reach out to me at 336-817-9116. I appreciate you taking the time to fill out this form. I can't wait to meet you!!
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