Appointment Request Form

Appointment Request Form
Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
What services are you interested in?
Please upload a current photo of both the front & back of your hair down:

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Next, upload 2-3 photos for your hair INSPIRATION!

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Please provide a brief overview of your color history over the past 5 years:
Has your hair ever been box died or colored at home in the past 5 years?
Do you have gray hair?
Are you currently wearing hair extensions?
What are your primary goals for your hair or extensions?
"Corin Did My Hair has a cancellation policy of 72 hours. Anything cancelled within 71 hours will be charged 50% of the scheduled service. Any no shows/ same day cancellations will be charged 100% of the scheudled service. A card on file is required to secure your appointment."
Should be Empty: