New Client Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Hair History - please explain your hair history from the last 2-6 years (ex: box dyes, sun in, going blonde, going dark, hair loss, damage, extensions) any and everything
*
What are your hair goals for your future appt?
*
Please upload pictures of your current hair in natural light (front, side and back)
*
Browse Files
Cancel
of
Please upload pictures of your goal for the appt
*
Browse Files
Cancel
of
I am okay with “before and after” pictures for the purpose of documentation, potential advertising and promotional purposes.
*
Agree
Do not agree
Is there anything else you’d like me to know?
*
What days work best for an appt for you?
*
Wednesday
Thursday
Friday
When are you hoping to get an appt?
*
Signature
*
Submit
Submit
Should be Empty: