New Client Application

1

Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

3

Email* This field is required.

example@example.com

5

Tell me about your dream hair :)* This field is required.

6

What is your hair history for the last 3 years?* This field is required.

Salon Services Only

Fashion Colors (blue, purple, etc)

At home Bleach/Dye

Perm/Relaxer/Keratin

Hair Extensions

7

Upload any inspo pics if you have them!

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

You can upload multiple files here

8

What days/times would you prefer? * This field is required.

9

How often are you hoping to schedule maintanence appointments?* This field is required.

4-6 Weeks

6-8 Weeks

8-10 Weeks

12+ Weeks

10

How long is your hair?* This field is required.

Short

Medium

Long