New Client Request Form

New Client Request Form

Salon 3:17 @hairbyamybee
Hi there! Thank you for your interest in having me do your hair! Before I book you as a new guest, I would love for you to review my New Client Slideshow and Information page. This will cover some very important information, including pricing, maintenance, policies and more.

After you have read through everything, please return to this page and complete this form. After the information is reviewed, I will reach out to you with appointment options within 1-3 business days. Thank you and I look forward to meeting you and working with you!

Here is the link:

NEW CLIENT INFORMATION SLIDESHOW
After you have clicked the link and read the above, please fill out the information below.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Instagram Handle (if applicable)
Select services you are interested in*

Lived-in BlondeLived-in BrunetteGrey CoverageGrey BlendingWomen's HaircutJust a Gloss/ToneColor CorrectionSolid Color
How often do you typically like to visit the salon?*

Every 4-6 weeksEvery 6-10 weeksEvery 10-16 weeksTwice a yearOnce a year
How long is your hair?*

Above my shouldersShoulder lengthMid backMermaid hair, basically
How thick is your hair?*

ThinAverageThicker than averageI have so much hair it's not even funny
What is the current condition of your hair/scalp? (check all that apply)*

Struggling with hair lossMinor split ends, just in need of a trimSignificant breakage (due to heat or chemical damage)Virgin HairSome old highlights, but otherwise pretty average/healthyDry/itchy scalp
Have you used any of the following on your hair (professional or not) in the last 3 years?*

Professional permanent hair colorBox dyeBrazilian BlowoutPermHennaKeratin TreatmentBalayageHighlights/babylights/any type of bleach work
Are you taking any medications? (sometimes this can affect your color and/or your color sensitivity.)*

YesNo
If yes, please list any medications.
Do you have any known allergies/reactions to anything, including chemicals/colors/dyes?:*

YesNo
If yes, please list them:
Please give a brief hair history summary:*
Please describe your current hair goals to the best of your ability:*
Please upload some images of your current hair. It is best to avoid direct sunlight, or harsh lighting like kitchens or bathrooms. Indirect light is best, (like an enclosed porch or in front of a window.) Please send images of the front, sides, back, and top.*

Cancelof
Please upload an image and/or images of some hair inspiration*

Cancelof
How did you hear about me?*

Referred by a friendInstagramFacebookTikTokGoogle searchOther
I confirm that all information I have provided in this form is true and accurate.*

Yes
I have read through the New Client Information Slideshow linked at the top of this form.*

Yes
I have reviewed and agree to the price list.*

Yes
I have reviewed and agree to the time commitments.*

Yes
I have reviewed and agree to all late cancellation and no-show policies.*

Yes
I understand that I will need to take care of my hair at home, and follow my given instructions to help maintain the health and color of my hair.*

Yes
Please review all information above for accuracy. I will contact you via text at the number you provided, so please make sure everything is correct before submitting the form.*

I have reviewed that all information is correct.
By signing below, I agree to all terms and conditions of Salon 3:17. *

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