New Guest Application Form

1
Full Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
How did you find me?* This field is required.
Instagram
Google
Referral
Other
5
What services are you interested in?* This field is required.
Luxury Color
Hair Extensions
Full Transformation
6
What do you wish to achieve with extensions?* This field is required.
Volume (fullness)
Volume + Length
Damage Free Dimensional Color
7
Extension History* This field is required.
I am currently wearing extensions
I have worn extensions in the past
I have never worn extensions
8
If you have experience with extensions, please share which method was installed, along with your pros and cons.* This field is required.
9
Do you or have you ever struggled with hair loss? hormonal, autoimmune, alopecia, postpartum etc.* This field is required.
Yes
No
10
If yes, please explain.
11
Do you have any of the following scalp conditions? Check all that apply* This field is required.
Dry Scalp
Dandruff
Dermatitis
Psoriasis
Other
None
12
In the last five years, have you done any at-home or non-professional hair coloring?* This field is required.
Yes
No
13
Do you love your current hair color?* This field is required.
Yes, I wouldn't change anything
No, I'm ready for a change
It's ok, but I'm open to suggestions
14
Which best describes the overall health of your hair?* This field is required.
Overall, it's healthy
It's healthy with dryness on the ends
Slightly damaged, growing back from either a bad cut, bad color work or other
Over processed, very damaged from heat, chemicals, or poor extension application
Currently regrowing hair after hair loss due to health related causes
15
Which best describes your hair pattern?* This field is required.
Straight
Wavy
Curly
16
Which best describes your hair density?* This field is required.
Fine
Medium
Thick
17
Which best describes your hair length?* This field is required.
Short, above shoulders
Medium, just below shoulders
Long, chest length
Very Long, waist length or longer
18
My transformations range from $1,500-$4,100+ depending on length, density, texture, and level of customization. The initial investment price will be quoted during the consultation and will be an all-inclusive price for any and all services needed to achieve your desired look. Is this something you are comfortable committing to?* This field is required.
Yes
No
19
To keep your Keratin tip extensions healthy, maintenance appointments are required every 2–4 months, depending on your natural hair's density and condition. Pricing begins at $1,500 and is finalized based on the specific services required. Are you able to commit to this maintenance schedule?* This field is required.
Yes
No
20
Following your application review, an in-person consultation is required to finalize color matching, scheduling, and deposits. A $100 prepaid fee applies, which will be credited toward your total service cost. Would you like to schedule your consultation?* This field is required.
Yes
No
21
Upload a photo of your current hair (FRONT) Must be taken inside, with natural indirect daylight. NO FILTERS OR FLASHES PLEASE* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
22
Upload a photo of your current hair (BACK) Must be taken inside, with natural indirect daylight. NO FILTERS OR FLASHES PLEASE * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
23
Upload an inspiration photo* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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