New Client Request Form

1

Client Name * This field is required.

First Name

Last Name

2

Instagram HandleOptional

3

Contact Phone Number* This field is required.

4

What days of the week work best for you?I take appointments Tuesday/Thursday evenings & Saturdays

6

What's your natural hair color?

7

When's the last time you colored your hair?

8

Have you ever used box dye? If so, when?* This field is required.Judgement free zone! Knowing this information will help me better understand your hair :)

9

How often do you like to get your hair done?

6-8 weeks

3-4 months

every 6 months

once a year

10

Please submit 1-2 photos of your current hair in natural lighting* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

11

Please submit at least 1 picture of your hair goals* This field is required.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

12

Anything else you'd like to add?

13

Kindly read the following information below and sign to acknowledge it on the next slide

14

Signature* This field is required.

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15

Date Signed

Date