Hair Extension (50% off Promotion)

Gorgeous Hair is Just a Click Away
Limited Time Only!

Exclusive for ANYONE who is considering hair extensions for the FIRST TIME.

Enjoy $450 in SAVINGS!
- 50% off the purchase of you new hair with a booked installation appointment
- Complimentary Express Scalp Treatment upon your return with maintance appointment after 6 weeks.
We can't wait to help you achieve the gorgeous hair you've always wanted.

Please fill out this intake form to help us know more about your needs.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Who is the Stylist you are wanting to consult with:*

TeralynAlynaToriNatalieAlexis
Tell us about you:
Why do you want hair extensions? *
What type of look are hoping to achieve?:*

Fullness onlyLength and FullnessFill in sparse areas only
How long would you like to commit to wearing hair extensions ?*

TemporaryLasting
Hair History:
Have you worn hair extensions on your head before ?*
What type were they and when were they installed ? *
Do you blow dry your hair or use heating appliances(such as Curling irons, flat irons, hot rollers?) How often do you use these items? *
Do you color, perm or straighten your hair? *
What chemical procedures have been performed on your hair in the past 3 years.*

Smoothing treatmentsNon-professional at home hair colorBleachColor Correction performed by a professional
Health History
Are you taking medication(s) or under a physician's care? If yes, please list medications and explain their purpose*
Have you been ill, had surgery or given birth within the past 6 months? If yes please explain.*
Do you have allergies of any sort? Please list items you are allergic to .*
*Plastic, rubber, metal, silicone
Do you have a sensitive scalp? Does prolonged use of sunglasses, ponytails, or a headband bother you? If yes, please explain*
Are you currently experiencing an unusual amount of hair loss? If yes, do you know why? *
Are you using any alternative treatment products to support hair strength, growth or slow the process of hair loss? Please list products being used. *
Lifestyle:
Do you sunbathe , use a tanning bed or utilize sunless self tanners sprays or lotions?*
What are your special interests , hobbies or exercise routines? *
How often do you like to change your hairstyle or color? *
Please upload an inspiration picture

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Please upload your current hair. Make sure to provide a picture of the front ,side, crown and back in a natural light setting.

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Thank you for taking the time to fill out this intake form.

Once you submit this form you will receive a confimation email with a link back to our website to schedule Consultation with one of our stylists. During this consultation they wiil be able to give you a quote on the cost to purchase hair,installation and maintance requirements.

Terms and Conditions :

This promotion is for CLIENTS that have never had hair extensions with our salon before. A credit card will need to be on file and a 50% deposit will be collected when your installation appointment is scheduled.
Should be Empty:

Gorgeous Hair is Just a Click Away

Limited Time Only!

Tell us about you:

Hair History:

Health History

Lifestyle: