BTV New Client Form
Full Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Instagram @
How did you hear about BTV? If referred by someone, please put their first and last name.
What service are you interested in/requesting? Go to services/booking tab on website for full description .
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BTV Blonde Bombshell
BTV Beach Babe
BTV Blonde Refresh
All Over Color
Root Retouch
All Over Lightener
All Over Lightener Retouch
Maintenance Gloss
Hair Wash + Style
Extension Consultation
Treatment
Are you interested in Bellami Professional Hair Extensions?
Yes
No
Maybe
Please attach photo(s) of your current hair. No Filters, mirror pics or edited selfies. Natural Lighting from roots to ends.
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Browse Files
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Choose a file
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of
If you have an inspo photo(s) leave here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have any medical conditions or take any medications that affect your hair?
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Check the box to agree to BTV's cancellation policy. PLEASE PROVIDE A 24-HOUR NOTICE FOR APPOINTMENT CANCELLATIONS OR RESCHEDULING. CANCELLATIONS OR RESCHEDULING WITHIN 24 HOURS WILL INCUR A 50% CHARGE OF THE FULL SERVICE PRICE. *NO-SHOWS WILL BE CHARGED 100% OF THE SCHEDULED SERVICE PRICE.*
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I agree
Please confirm you are aware that Behind the Vanity is located at 555 S Tamiami Trl SUITE 101, Venice FL 34285
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Yes, I am aware
Todays Date
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Day
Year
Date
Please sign below acknowledging you have read and understood this form in its entirety.
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