Appointment Request Form

Appointment Request Form
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Which service(s) are you interested in? (select all that apply)

Color onlyColor & cut
Upload both a front AND back photo of your current hair.*

Please take these photos in natural lighting so I can see your full length and color!
Cancelof
Upload 2-3 photos of your hair INSPIRATION*

Cancelof
Hair History
Please provide a brief overview of your color history over the past 2 years?*
Has your hair been box dyed or colored at home in the past 2 years?*

yesno
Do you have Grey Hair?*

yesno
Are you currently wearing hair extensions?

YesNo
We require a 48 hour cancellation notice prior to any appoointment to avoid a cancellation fee of 50% of your scheduled service cost. NO showed apointments will be charged a cancellation fee of 100% of the scheduled service. If you are more than 15 minutes late for your appointment, we may need to reschedule. Resulting in a cancellation fee
Preffered Scheduling Days (select all the apply)

WednesdayFridaySaturday
Should be Empty: