Appointment Request Form

Appointment Request Form

Let us know how we can help you!
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address
example@example.com
If you'd rather be contacted via instagram or email please type either one below. IF THIS IS LEFT BLANK YOU WILL BE CONTACTED VIA TEXT MESSAGE!
What service(s) are you interested in?*
SUBMIT INSPO PHOTOS BELOW*

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What day of the week/ time of day would work best for you? (As of February 2025 my availability is M/T/T, and I open other days by request!)
blanks*
When was the last time you got your hair done? What service was done? Was it done professionally? Tell me your hair history!*
SUBMIT ANY RECENT PICTURE OF YOUR HAIR CURRENTLY*

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How did you hear about me?*

Friend or familyTikTokInstagramSalon
Did you review my pricing?*

Yes, all good!No
Should be Empty: