This form will help me assess your needs, create a game plan for your hair, and prepare for your first vistit.
You will receive an email with an online booking link within 24 hours.
Name
First Name
Last Name
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
How did you hear about this salon?
Facebook
Instagram
Google Search
Referred by a friend
Other
Select a salon service
Hair Color
Hair Color + Extensions
Extensions
Other
Which statement best describes you?
I have a very flexible schedule and can come anytime
My schedule changes frequently
I need specific dates and times
Current Hair Photo (In natural light/No filter)
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Desired hair pictures
*
Anything else I should know?
Client Signature
Date Signed
-
Month
-
Day
Year
Date
Print Form
Submit
Submit
Should be Empty: