New Client Appointment Request

1
Email address* This field is required.
2
First Name* This field is required.
3
Last Name* This field is required.
4
Phone Number* This field is required.
5
Address* This field is required.
6
Birthday Month* This field is required.
7
Would you like to receive reoccurring email offers and deals?* This field is required.
Yes
No
8
How were you referred? (please provide First and Last name if it was a current client)* This field is required.
9
Check any services you have had in the last 2 years. (Home or Professional)* This field is required.
Haircuts
Color
Highlights
Relaxer/Straightener
Lightener/Bleach
Option Permanent Wave
Smoothing Treatment/Brazilian
Other
10
Month and year of last service mentioned above* This field is required.
11
What type of hair services would you like to discuss at your future appointment?* This field is required.
Haircuts
Color (Single color)
Highlights/Lowlights
Smoothing Treatment/Brazilian
Other
12
My hair is... Select all that apply* This field is required.
Short above my shoulders
Medium below shoulders above bra
Long at or below bra
Fine density blow dry's quickly
Medium density takes some effort to blow dry but not too much
Thick density takes significant amount of time to blow dry
Naturally curly and I blow out my hair regularly
Naturally curly and I wear my hair in its natural curl
13
If you desire an appointment for color/highlight services, please describe your hair's current hair color. My hair is...* This field is required.
My natural hair color
Highlighted Blonde
Colored w/ Highlights
Colored a Brown
Colored a Dark Brown or Black
Colored a Natural Red
Fashion Color (Pink, Red, Blue, Green...)
Other
14
Are you looking to make a significant change to your current hair color? If the answer is "yes" please briefly describe your desired look.* This field is required.
15
Have you ever used "Natural Hair Color", Henna Dye or other natural hair color on your hair?* This field is required.
Yes
No
Maybe
I Don't Know
16
If applicable list the type of product used and date of last application.
17
Do you use any of the following social media platforms?* This field is required.
Facebook
Instagram
Yelp
Pinterest
Snap Chat
Other
18
Are you allergic to any salon chemicals? Please list any known hair or skin product allergies/sensitivities.* This field is required.
19
What styling tools (blow-dryer, curling iron, etc) do you use on a regular basis?* This field is required.
20
How many times a week?* This field is required.
1
2
3
4
5
6
7
8
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Describe your hair in your own words, including any struggles you may be having.* This field is required.
22
What additional information would you like me to know about your hair or your appointment preferences?* This field is required.
23
I consent to the use of my images* This field is required.
Yes
No
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Type your first and last name and social media handle.* This field is required.
25
Less than 24 hours notice to cancel or reschedule any appointment will be charged 50% of each missed service. (i.e. cut, color, highlight are all individual services). Repeat offenders will be charged the full price of their missed or rescheduled appointments. All fees must be paid before any future appointments can be made.* This field is required.
I understand
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No call/No show/forgotten appointments will result in a fee of 100% of the total missed serviced.* This field is required.
I understand
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I strive to be on time for each and every guest. If I am running significantly behind, I will make every effort to contact you prior to your appointment time. In order to ensure punctuality, I do ask that each guest arrives at or before their appointment time. If you are arriving late, we will do everything possible to accommodate you. However if you are more than 15 minutes late, your service may need to be modified or rescheduled. If a reschedule is needed then fees listed above may apply.* This field is required.
I understand
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I understand that sometimes once you get home and live in your new hair for a few days, you may find some adjustments that need to be made. I am happy to make minor adjustments that align with our original consultation. Any requests for adjustments must be made within 7 days of your original service. * This field is required.
I understand
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A change of mind about a color request does not constitute an issue. Adjustments will be treated as a new service. Please note blonding often takes multiple sessions to achieve the desired goal while maintaining the health of the hair.* This field is required.
I understand
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The environment of a salon is meant to be a getaway from the stresses of daily life. In an effort to keep appointments relaxing, enjoyable and distraction free for everyone, we ask that you please make child care arrangements prior to your appointment.* This field is required.
I understand
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Please submit your desired service(s) and preferred time.* This field is required.
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