Appointment Request Form
Please fill out the form below to schedule your appointment with me.
FULL NAME
*
First Name
Last Name
PHONE NUMBER
*
Please enter a valid phone number.
Format: (000) 000-0000.
INSTAGRAM HANDLE
@EXAMPLE
METHOD OF CONTACT
*
TEXT
CALL
INSTAGRAM DM
HOW DID YOU HEAR ABOUT ME?
*
PREFERRED DATE AND TIME
*
BUDGET
*
LESS THAN $100
$100-$150
$200-$250
$300-350
UNLIMITED
WHAT SERVICES ARE YOU INTERESTED IN (SELECT ALL THAT APPLY)
*
HAIRCUT
ALL OVER HAIRCOLOR
BLONDING OF ANYTYPE
PERM
VIVID HAIR COLOR
EXTENTIONS
SCALP TREATMENT
TONER
CONDITIONING TREATMENT
IDK!! HELP ME!!
HAIR HISTORY FOR THE LAST 5 YEARS (INCLUDING ANYTHING DONE AT HOME)
*
CURRENT HAIR. INCLUDE 4 PHOTOS FRONT, BACK AND EACH SIDE AND/OR A 360 VIDEO. BE SURE TO INCLUDE AND PROBLEM AREAS (EXAMPLE: THINING, FINE, FLAT, DISCOLORATION, BREAKAGE, ETC)
*
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INSPO PHOTOS. UPLOAD AS MANY AS YOU WOULD LIKE.
*
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I AWKNOWLEDGE THAT IF MY REQUEST IS APROVED I WILL BE DIRECTED TO A BOOKING THE FOILED IT! HAIR STUDIO WEBSITE WHERE I WILL BE REQUIRED TO PAY A DEPOSIT AS WELL AS KEEP A CARD ON FILE.
*
Request Appointment
Request Appointment
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