Lave Om New Client Form

Lave Om New Client Form
Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Preferred pronouns

Other
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Occupation
When is the best time to reach you?
What are preferred days & times for appointment?
Emergency Contact Person

First NameLast Name
Phone Number
Format: (000) 000-0000.
Please provide brief hair history: (past 2 years)
What are some things that you love about your hair? What are some things you dislike about your hair?
Please provide brief description of hair color/style goals you would like to achieve:
What products are you using on your hair?
How did you hear about me?

Other
Checking the box below means you have provided me with the correct information, you understand there will be a deposit required to book an appointment with me and you will have the most fabulous hair ever 🖤
Date Signed

MonthDayYear
Date
Client's Signature
Should be Empty: