Golden & Green Hair Co.

Golden & Green Hair Co.

New Client Intake Form
Client Name

First NameLast Name
Client's Phone Number
Please enter a valid phone number.
Client's Email
example@example.com
Birthday

MonthDayYear
Date
Select preferred hair service

Haircut and styleExtension ConsultBlonding ServiceBrunette/ Lived in color serviceGlazeAll over colorGrey Coverage
Give a brief description of what you're looking for with your services at Golden & Green Hair Co.
Please upload 2-3 inspiration pictures below

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Please upload 1-2 pictures of your current hair in natural lighting

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How often do you like to get your hair done?

Every 2 weeksEvery 3-4 weeksEvery 2 monthsEvery 2-6 monthsTwice a yearOnce a yearOther
How long is your hair

ShortMediumLongOther
What is the density/thickness of your hair

Very FineFineMediumThickVery Thick
What is the current condition of your hair?

Hair LossDamage due to over heatSplit endsBreakageItchy scalpDry hairDandruffOther
What is your scalp condition

DryNormalOilyOther
Choose the following you have received

Box dye/ At home hair serviceKeratin/ Brazillian blowout serviceProfessional permanent colorRelaxerHenna
When did you last visit a hair salon

MonthDayYear
Date
Please describe your hair history of the last 3 years
Best days and times for your schedule
How did you hear of us?

FacebookInstagramAdsGoogle SearchReferred by FriendOther
Select Preferred Stylist
Any special instructions, comments, or suggestions?
Cancellation Policy:

We ask that you please reschedule or cancel at least 48 hours before the beginning of your appointment time. A cancellation within 48 to 24 hour window will result in a cancellation fee of 50% of the scheduled service. Less than 24 hours or a no show will result in a fee of 100% of the service price scheduled. We understand that things happen out of our control, so please contact us if their has been a death, you are sick, or freak accident occurs.

Appointment reminders are sent out at time of booking, 72 hours prior to appointment, and 48 hours before.

All clients are required to have valid card on file. Adding a card on file means that you agree to the above cancellation policy.

I confirm that all information indicated in this form is true and accurate.*

By signing below, I agree to the terms and conditions of the salon company and policies in stated.
Client's Signature

Clear
Date Signed

MonthDayYear
Date
Thank you so much for your interest in Golden & Green Hair Co.

You will hear back from us in 1-3 business day! Can't wait to give you the hair of your dreams!
Should be Empty:

Golden & Green Hair Co.

Cancellation Policy:

Thank you so much for your interest in Golden & Green Hair Co.