RGN WAITLIST

1

Are you a new client?* This field is required.

YESNO

2

Would you like to receive booking text notifications?* This field is required.

YESNO

3

Are you are you requesting an URGENT appointment?* This field is required.An additional $50 fee is required upon scheduling (does not go toward service). Please text 205-842-2655 to schedule

YESNO

4

Do you understand that a squeeze in appointment

YESNO

5

Service desired?* This field is required.If you wish to keep your nails on, please be aware that there is an extra charge for working over another tech.

Full SetFill In

6

Would you like an appointment for?* This field is required.

Current monthNext month

8

Around what time?* This field is required.

Any time

Anytime before 12p

Anytime after 12p

9

Name* This field is required.

First Name

Last Name

10

Phone Number* This field is required.

Please enter a valid phone number.

11

Email* This field is required.

example@example.com

12

Please submit an inspirational photo(s) of the nail style you desire.)))))OPTIONAL(((((

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