✨ Glamere Nail Appointment ✨
Fill in your data to book nail art appointment
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
What date and time work best for you?
Services you would like
*
Standard Manicure
Builder/Hard Gel Full Set
Gel Manicure
Acrylic Infill
Gel/Acrylic Removal
Mini Manicure
Gel Infill
Acrylic Full Set
Nail Repaire
Other (Please specify in the "Notes" box at the end of the page)
Current Health Condition (Please select below)
*
Diabetes
Fungal Infection
Skin Disease
Bone Problems
None
Other (Please specify in the "Notes" box at the end of the page)
Do you have any allergies?
*
Yes
No
Are you wearing gloves if you clean the house, do the gardening, or washing dishes?
*
Yes
No
Nail Condition
*
Split
Crack
Peel
Good
Cuticle Condition
*
Dry
Inflamed
Torn
Normal
Do you have any cuts or wounds in your hands?
*
Yes
No
NOTES or Anything else we should to be aware of
Please UPLOAD inspiration picture of what you would like 🥰
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Signature
By signing below, I confirmed that all information I entered in this form is accurate and true. I authorized this Nail Technician to perform nail care service to my hands and feet.I agree for any photos taken during and after the treatment to be used for marketing purposes.Please wait for a confirmation text and email confirming date and time requested for an appointment.
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Date Signed
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