New Customer Registration Form

D x MK Hair Studio

New Client Consultation Form
What Hair Services are you requesting?*

Balayage (Hand-Painting only)Lived-in color (combination of foils, balayage and/or color melting)Invisible Bead Extensions (IBE)HairCutRoot touchup or Single process color
client's Name*

First NameLast Name
Client's Phone Number*
Clients E-mail Address
example@example.com
Instagram Handle
Date of Birth

MonthDayYear
Date
Upload inspiration Photos*

You can upload multiple files here
Cancelof
Upload photos of your current hair (natural Lighting please!)*

You can upload multiple files here
Cancelof
Anything else you would like to tell me about your hair goals?
How often are you willing to maintain your color?*

Every 4-6 weeksEver 6-8 weeks2-6 monthsTwice a yearOnce a Year
How often do you wash your hair?*

Every dayEvery other dayTwice a weekOnce a week
What is the current condition of your hair?*

Healthy/Virgin HairHealthy/Previously ColoredPostpartum Hair LossDamage Due To HeatMild Split EndsBreakage Due To Previous Color ServiceDry HairDandruffOther
Have you used the following in your hair before?*

Permanent Hair Color (Professional)Permanent Hair Color (At Home Box)Demi Permanent Color(Professional)Demi Permanent Color (At Home Box)Keratin TreatmentFoil HighlightsBalayageLow LightsFashion ColorOther
When did you last apply professional or unprofessional color in your hair?*
please be specific as possible
Please indicate the products you are using and it's purpose
Please be specific as possible
How did you hear about me?*

Social Media (facebook, Instagram)Google SearchReffered By Another Client Of MineOther
Any special request, comments, or questions?
CANCELLATION POLICY

In order to book an appointment and reserve your date and time you must input a credit card. Please note: credit card will not be charged until the end of your scheduled service. A text will be sent out in advance to confirm your appointment.

In the event you need to cancel or reschedule please do so within 72 hours of your scheduled appointment. Any Appointment that is canceled or rescheduled after 72 hours or in the event you no show the day of, you will be charged 50% of your total service.
Signature*

Powered by Jotform SignClear
Date Signed*

MonthDayYear
Date
Should be Empty:

D x MK Hair Studio