New Client Facial Waitlist + Appointment Request Form

New Client Facial Waitlist + Appointment Request Form

Thank you for choosing Angelina Esthetics! If you are a new client please join my waitlist to start your skin journey! Once an appointment becomes available you will be notified to schedule your first initial consultation appointment. If you would like to be on a priority list for a special accommodation of a treatment please fill out that section on the waitlist form. A special accommodation request is an option BUT not guaranteed appointment within timeframe requested. All submissions will be notified by email once there is an opening available.
Name

First NameLast Name

How did you hear about Angelina Esthetics? Social medial, referral(Please provide name of who referred you), google etc
What service(s) are you interested in.
Preferred date/times/days of the week that you have interest in:

Would you like to be put on a priority list for a special accommodation for a facial treatment. If so, please share date you'll like to get in by, current skin concerns and overall reason why this special accommodation is important to you. Pictures of current skin concerns + can be shared on the next section but not required.
If you would like to add photos of your skin please include natural lighting directly from your camera NO filters. Capture full right and left view + center face view. This is a huge help for my reference especially for your first treatment.

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Would you like this appointment request to be considered as a special request? if request is able to be accommodated there is a $25 fee + choice of service fee applied.
Thank you for completing this form. Once your appointment request is accepted you will be contacted by Angelina Esthetics by your contact information provided. I look forward to achieving your skin care goals with you!

If you have any additional questions or concerns please reach out to angelinaoesthetics@gmail.com. Please allow 3-5 business days for a response.
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