New Client Form
Please fill out and submit this form to connect with me about making an appointment!
Customer Details:
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
example@example.com
What hair services are you interested in?
Lived-in Color
Blonding
Color/Glaze
Gray Coverage
Haircut
Bridal Hair
Hard Water Treatment
Hand-tied Extensions
Briefly describe your hair type and hair color history over the past 2 years.
I am in the salon on Mondays, Tuesdays, Thursdays, and Fridays. Select which of those days work best for you for your hair appointments.
Monday
Tuesday
Thursday
Friday
What time of day?
Morning
Afternoon
Evening
I'm Flexible
What if your preferred method of communication?
Text
Call
Email
Submit
Should be Empty: