New client form
Please fill out this form to register as a new client and let us know your service preferences.
Full name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Email address
*
example@example.com
Service options
*
Balayage/Lightening
Root Color/Grey Coverage
All Over Hair Color
Fantasy Hair/Vivid Hair Color
Hair Cut
Not Sure But Would Love To Discuss What Works Best
Updo Hairstyle
Makeup Service
What Days/ Times work best with your schedule? I will do my best to coordinate our schedules based on this information. (These times reflect the start of your appointment)
*
Weekdays (M-F) 9am-2pm
Weekdays (M-F) 5pm-8pm
Weekends (Sat-Sun)
I'm Flexible
Have you used at home box dyes, artificial colors,or lightening services in the past year?
*
Yes
No
Please provide a brief description of all services done to your hair within the past 3 years.
What are any concerns (if any)? (This can include what you dislike about your hair color, texture, or styling)
Upload a photo of your current hair front and back (please upload 2-3 photos)
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload your hair goals (2-3 reference photos)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
I understand hair lightening services may take 2-5 hrs depending on hair length, density, color history, and desired result and also could include multiple sessions
*
Yes
How did you hear about me
Instagram
Tik Tok
Facebook
Referral
Google
Other
Who referred you?
Are you comfortable being filmed for content creation
*
Yes
No
Policies
Cancellations must be made at least 48 hours prior to your scheduled appointment date and time. Failure to cancel within this timeframe will result in a cancellation fee equal to 50% of the total service cost. Please note that no-shows will also incur a cancellation fee of 50% of the total service cost.
I understand
*
I understand
Submit
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