Rebeca // Appointment Request Form
This awesome form is like a matchmaking game for us to vibe with your needs. Once you're in, we'll spill the details on how to lock in your first hangout!
Name
*
First Name
Last Name
Pronouns
Email
*
Phone Number
*
Please enter a valid phone number.
Social Handle
How did you hear about us?
*
Facebook
TikTok
Instagram
Google Search
Referred by a friend
Other
What flavor of awesome are you craving assistance with?
*
Haircut (Blow-Dry Included)
Hair Color (Blow-Dry Included)
Hair Extensions
Blow-Dry
Blow-Dry
Blow-Dry Artist
*
Please Select
Rebeca (she/her) $75/hr
How would you describe your hair? (Check all that apply.)
*
Fine
Medium
Thick
Coarse
Straight
Wavy
Curly
Dry
Oily
Damaged
Natural
Processed
How would you like your hair done?
*
Straight / Silk Press
Curly / Diffused
Blowout + Curling Iron Waves / Curls
Big & Bouncy
Sleek & Smooth
Anything else we should know about your hair?
Please upload a current photo of your hair --> bright, natural lighting, without filters
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Haircut
Haircut Specialist
*
Please Select
Rebeca (she/her) $75/hr
How would you describe your hair? (Check all that apply.)
*
Fine
Medium
Thick
Coarse
Straight
Wavy
Curly
Dry
Oily
Damaged
Natural
Processed
What do you love the most about your hair?
*
What do you wish your hair did differently?
*
What would you like to accomplish with your hair?
*
Please upload a current photo of your hair --> bright, natural lighting, without filters
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a current photo of your hair --> bright, natural lighting, without filters
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inspiration Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inspiration Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Hair Color
Hair Color Specialist
*
Please Select
Rebeca (she/her) $75/hr
What would you like to accomplish with your hair?
*
What do you love the most about your hair?
*
What do you hate about your hair? (if anything)
*
Have you used any of the following in your hair? Please check all that apply .
*
I've never colored my hair before
Professional Hair Color (done in a salon)
At Home Hair Color (no shame)
Colored Shampoo / Conditioner
Overtone
Splat
Arctic Fox / Manic Panic
Direct Dye / Vivid Hair Color
Temporary Hair Color
Demi Permanent Hair Color
Semi Permanent Hair Color
Permanent Hair Color
Hair Color Labeled Natural or Organic
Henna
Box Color
Something from the beauty store
Keratin / Brazilian / Smoothing Treatment
Relaxer / Perm
Other
Have you ever experienced an itchy, painful or tender scalp during or after a hair coloring service?
*
This can be symptomatic of an allergic reaction and we may need to perform an allergy test prior to applying any color onto your hair.
What is your budget for your hair?
*
We do things differently over here. We schedule our services using a flat rate, gratuity free hourly pricing method instead of confusing service menu names.
Please upload a current photo of your hair --> bright, natural lighting, without filters
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a current photo of your hair --> bright, natural lighting, without filters
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inspiration Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inspiration Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Hair Extensions
Hair Extension Specialist
*
Please Select
Rebeca (she/her) $75/hr
What type of hair extension method would you be interested in doing?
*
Hand-Tied
Genius Weft
Machine Weft
Custom Clip-Ins
Have you had hair extensions before? If so, what kind/method?
*
If yes, what was your experience like?
Would you like to add length, volume, or both?
*
How often do you currently cleanse & condition your hair?
*
Are you experiencing any hair loss or hair loss problems?
*
What is your budget?
*
We do things differently over here. We schedule our services using a gratuity free hourly pricing method. Hourly rates do not include the cost of extension hair.
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