New Client Form ✨

New Client Form ✨

Please fill this out to the best of your ability before your appointment! Paper copies are available at the salon if needed!
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Emergency Contact
Name - Relation
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What hair style do you like?
Cut, Color, Brassy/Warm Tones, Cool/Silver Tones, anything that relates to your service
Upload an image of hair style or hair color you prefer, if you’re able to

You can upload multiple files here
Cancelof
Upload an image of your current hair, if you’re able to

You can upload multiple files here
Cancelof
How long is your hair?
What is the current condition of your hair?

Other
What is the condition of your scalp?

Other
How often do you apply shampoo and conditioner in your hair?

Other
Have you used any of the following in your hair before?
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
What does your daily hair care routine look like? How much time do you spend on your hair per day?
Are you taking any medications? If yes, and you’re willing to share, please list them below:
Any special instructions, comments, or suggestions?
- By signing below, I agree to the terms and conditions of the salon company.

- I agree that all things listed above are true and up to date
Client's Signature
Date Signed

MonthDayYear
Date
Should be Empty: