Service Request Form

Customer Details:
Full Name*

First NameLast Name
E-mail
example@example.com
Phone Number*
Format: (000) 000-0000.
How did you hear about Rayne?*
Please select one of the following:*

I am a new clientI am a returning client
Name of who referred?
What services are you looking to book? Check all that apply:*

ColorCutKeratin
Intro to color service: For first time clients requesting lived-in color, custom color, transformations, or color corrections/corrective blonding. Our first appointment will be the lengthiest, and will require additional time and product. Pricing is subject to length of service time, and hair length/density.

I understand
If requesting lived-in color, custom color, a transformation, or a color correction, first time clients must book an “Intro service”. Please select your desired service:

Lived-in color / Custom colorTransformation (dark hair to blonde or vivid color, corrective blonding)Color correction or corrective blondingNo colorOther
Please describe your current hair goals and have an idea of what you’re looking to do upon arrival:
Appointment preferences*

WeekdayWeekendAfternoon(12p)Evening(4p)No preference
A non-refundable deposit is required to have your submission considered. Deposit must be paid in full via Venmo or Zelle.*

I understand
Select from the following payment methods for deposit (caption as “hold deposit for service request”) *Must be paid prior to appointment confirmation:*

Venmo @raynedeadZelle (510)963-8339Send me a payment link
Please answer the following before submitting your request:
I have not used box dye or at-home color within the last 4 years:*

NeverI have, but more than 4 years agoI have within the last 4 years
I am aware that if signs of previous box dye are found on my hair during my color service I will be automatically charged as a full “color correction”, or the appointment will immediately end and deposit will be forfeited.*

I understand
I understand that hair color is a commitment and requires maintenance. Salon quality products are required to maintain hair integrity and color (no using drug store hair products). Rayne cannot ensure color longevity if your hair is not properly cared for. A care regimen will be suggested during your color service.*

I understand
All clients will be recommended at-home care products, and will be offered pre-booking options for maintenance at check out. Maintenance is recommended every 6-8 weeks depending on the color service.*

I understand
All considered submissions will receive a follow-up text and/or email within 48 hours. Please have any questions regarding service procedure, estimated pricing, duration, and aftercare ready for consult.*

I understand
Please verify that you are human*
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Customer Details:

Please answer the following before submitting your request: