Service Request Form with Emily Chen

Transformative COLOR Request Form with Emily Chen
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
The following criteria must be met in order to be considered for a transformative color service with Emily:
Brooks & Harlow Salon is located in Victor, NY just outside of Rochester. Are you willing to travel to our salon for your large scale color service as well as any maintenance services required after?*

Yes I am
During your service, are you comfortable with your hair and face on camera for the purpose of use on Emily’s social media?*

Yes I am
Please provide a brief history of your hair color over the last 3 years. Include any in salon or at home color application, lightening services, or any other chemical hair treatments:*
Please provide 4 photos of your current hair:

one from the front, one from the back, and two from the side, in natural lighting, parted, with the regrowth clearly visible. Please be sure to part the hair in a straight line, and pull the hair taught so that Emily can get a clear visual of your hair history from roots to ends, as well as clearly see your gray pattern. See example below:
Photo from the front:*

Cancelof
Photo from the back:*

Cancelof
Photo from the side:*

Cancelof
Photo from the side:*

Cancelof
Please provide 3 goal photos:

Upload your goal photos here, and in the space below, please describe what you're looking to achieve.
1st Goal photo:*

Cancelof
2nd Goal photo:*

Cancelof
3rd Goal photo:*

Cancelof
What do you like about the goal photos you've submitted? What are you trying to achieve? Go into as much detail as you'd like:*
Thank you for your interest in scheduling a service with Emily. Your submission will be reviewed to determine if your needs and goals align with the services she is taking on at this time. If your project meets the critiria she is looking for, we will reach out to you to schedule a consultation.

Please note that your submission will be ineligible for consideration if any of the information requested in this form is not included.

If you have any specific questions that have not been answered in this form, please reach out to our reservations team during business hours at (585)398-8045 and we will be happy to assist you!
Should be Empty:

Transformative COLOR Request Form with Emily Chen

The following criteria must be met in order to be considered for a transformative color service with Emily:

Please provide 4 photos of your current hair:

Please provide 3 goal photos: