Priority Waitlist Form

Appointment Request Form

If an appointment is available at your requested time you will receive a text message to book the slot you requested.
Full Name*

First NameLast Name
Contact Number*
Please enter a valid phone number.
Email Address*
example@example.com
Available days are Tues, Weds, Fri, Sat ONLY (Times Available for request: 10:30am, 12:30pm, 1pm, 3;30pm, 5:30pm, 7pm)*

MonthDayYear
Date
Hour MinutesAM/PM Option
What Services are you interested in booking?*
Please be sure to include any "ADD ONs" you would like to add. For example: wispy, bottom lashes, lash removal, etc.
Please be prepared to provide a card to put on file. A $25 deposit is also required upon booking.*

Agree
Are you available for a different time slot than the one listed above?

YesNO
Please list another Day & Time:
Should be Empty:

Appointment Request Form