New Client Form

New Client Form

Hi everyone! Please provide your information on this form so we can get know each other before your appointment. I'm so excited to meet you! ☺
Client's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Client's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Blonde MaintenanceDimensional ColorDark Wanting to Go LighterDark MaintenanceBlonde wanting to Go DarkerRed/CopperIDK! I Change My Mind All of The Time!!
Every 4-8 WeeksEvery 10-14 WeeksA Couple Times a Year
MorningsEveningsAfternoons
Upload an image here, of the hair style, cut, or color that you are wanting to achieve!

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Upload an image here of your current hair. (Please provide unfiltered photos in natural, non-direct lighting).

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This is my time to relax, I like to remain quiet.I love chatting and getting to know people!Depends on the day!
Hair LossDamage Due to HeatSplit Ends/BreakageItchy Scalp/DandruffDryOilyOther
Every dayEvery other dayOnce a weekOther
Permanent Hair ColorHennaKeratin TreatmentRelaxerNone of the above
Religiously every 4-8 weeksYes! But its been a few months and fadedI've never had permanent color beforeI've definitely turned my kitchen into a salon before but its been years. (No worries, we've ALL been there.)
What Products Are You Currently Using? (This includes styling products as well.)
What Hot Tools Do You Like Using, and How Often Are You Using Them?
If there is anything else you'd like for me to know prior to your appointment, please let me know below. (Any and all information is welcome this is a no judgement zone. ☺)
I confirmed that all information indicated in this form is true and accurate *

ALL CLIENTS MUST GIVE AT LEAST A 24 HOUR NOTICE TO CANCEL OR RESCHEDULE THEIR APPOINTMENT IN ORDER TO AVOID A FEE.

50% OF THE SERVICE COST WILL BE CHARGED IN THE CLIENT NOTIFIES LESS THAN 24 HOURS OF THE APPOINTMENT AND PUT TOWARDS FOLLOWING APPOINTMENT.

100% OF THE SERVICE COST WILL BE CHARGED IF THE CLIENT NOTIFIES THE DAY OF THE APPOINTMENT OR NO SHOWS THE APPOINTMENT.

By signing below, I agree to the terms and conditions above.
Signature
Date Signed

MonthDayYear
Date
Should be Empty: