New Client Intake

Please fill out the form below, and you’ll hear back within 48 hours. If for any reason you don’t receive a response, feel free to reach out using the contact information provided.

Just a quick note—this form is for new clients only. If you’re an established client, you can contact me directly for your next appointment.

Thank you so much for your time and interest!

What is your name?

First NameLast Name

What is your email address?

example@example.com

What is your phone number?

Please enter a valid phone number.Format: (000) 000-0000.

How would you like to be reached?

Were you referred by a friend or current client?

If you selected "Yes", please provide the name of your referrer.

What service would you like to book?

What days work best for you?

Do you have a preference for your appointment time?

Do you have any known allergies or sensitivities to hair color or lightener?

If yes, please describe your allergy or reaction below and include the product name/brand (if known).

Can you provide a brief 5 year hair history? Please include whether these services were performed in a salon or at home.

Which option best describes your hair texture?

Please provide a few photos of your hair in natural light (front, back, and sides).

Please provide inspiration photos in the space below. If you don't have any, I recommend browsing on any social media platform, focusing on models with similar hair (texture, color, and density).

Do you have a budget that you are currently working with?

If you selected "Yes", please input your budget.

Feel free to share any questions and concerns about your hair or the service in the space below.

Please read the following terms of service.

A $50 nonrefundable deposit is required to book. This excludes the following services: Wash and Style, Cut, Express Gloss, and Styled Gloss. In addition to the deposit, you will also be asked to place a card on file.

Clients will receive a confirmation text and email 72 hours before their appointment. I kindly ask for at least 48 hours’ notice if you need to cancel. A 50% rescheduling fee applies for less than 48 hours’ notice, 75% for less than 24 hours, and 85% for same-day cancellations or no-shows.

The provided card on file will be charged unless another payment method is arranged in advance.

By signing below, I acknowledge that I have fully read and agree to the terms of service outlined above.

Signature