Shire & Shears New Client Form

1

Name

First Name

Last Name

2

Pronouns:

3

Phone Number

Please enter a valid phone number.

4

Email

example@example.com

5

Upload 4 photos of your current hairFront, right side, left side & back

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

6

Upload inspiration photosAny photos of hair you like & are inspired to do for yourself should go here! Can also include past haircuts youve enjoyed on yourself.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

7

If you don't have photos, write a brief description of the haircut you would like. If you provided inspiration photos, put N/A.

8

Do you like to have your hair washed & styled?

YESNO

9

Do you want a beard trim or hot lather face shave along with your haircut?

Beard trim

Hot lather face shave

Both

Neither

10

Please list any topical allergies/fragrance sensitivity you have below. If none, put N/A.

11

List any accommodations you will need during your haircut

12

Do you tend to run more than 10 minutes late for appointments?

YESNO

13

What health accommodations do you want during your appointment?

All persons present in salon must be masked in KN95+

I'm comfortable if we are the only ones masking

No accommodations needed

14

List any concerns you currently have with your hair:

15

What is your hair density?

Fine/thin

Medium

Thick

Unsure

16

Do you typically like to talk during your hair appointments?

YESNO

17

I understand that Micki, my stylist, goes by they/them pronouns & I will respect them.

YESNO