Bliss Salon’s New Client Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
How did you hear about Bliss?
*
What chemical services have you done over the last 3-4 years? (Please check all that apply)
*
In salon Bleaching
In salon permanent color
In salon Demi permanent color or toner
At home bleaching
At home permanent color
At home Demi permanent color or toner
Vivid colors (reds, pinks, blues, greens, purples etc.)
Perms
Brazilian blowout or keratin treatment
Other
Bliss Salon’s has two locations, do you have a preferred location?
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Bliss Salon & Spa (Southridge)
Bliss Salon & Barber (Clearwater)
No preference
I prefer
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Mornings
Afternoons
Open availablity
Other
I am interested in (please select all that apply)
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Blonding
Color
Haircut
Extensions
Waxing/laminating/tinting
Texture services
Style & Updo
Conditioning Treatment
Barbering
Other
Tell us a little bit about what you would like to get done?
*
Please upload a current photo of the front and back of your hair. (This is best with natural lighting and indoors, somewhere near a window.)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload any inspiration or goal photos that you have here.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
We ask that you please reschedule or cancel at least 48 hours before the beginning of your appointment or you may be charged a cancellation fee of 100% the price of your scheduled appointment.
*
Submit
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