New Client Form

New Client Form

Please complete the entire form so that we can serve you better.
Your Name: *

First Name Last Name
Email Address: *
Email
Phone Number: *

Area Code Phone Number
Please describe any problems or issues you are having with your hair.
Please upload a current picture of your hair in natural light. NO FILTERS PLEASE. *

Upload a File
Max Total Upload Size: 500MB Cancel of
Please upload a desired picture of the hair you want.

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When was the last time at home hair color was applied by you? (NOT PROFESSIONAL HAIR COLOR) *

Within the last year. 1-3 years ago. 3-4 years ago. 5+ years ago Never
How many major hair color changes have you had in the last 2 years? (Example: brown to blond (this would be 1), blond to red (this would be 2).

1 2 3 4+ Not sure
Please describe in detail the service you are wanting so we can better help you. (Example: highlights, base color, correct hair color, extensions.) *
Stylist Wanted

Amanda (Consultations are $50. She is only accepting new extension clients or color with extension clients. No color only clients at this time. You can request to be added to her color only waiting list.) Alexis Makena Doesn’t Matter
What kind of hair extensions are hair you wanting?

Hand Tied Wefts (WE ONLY INSTALL OR MOVE UP WEFTS WE SELL.) Tapes Dreamcatchers or I Tips Klix Don't Know None
Hair type

Straight Wavy Curly Have Keratin In Now
Is your hair?

Healthy Dry Damaged
Do you have a upcoming wedding?

Yes No
Date of upcoming wedding. (Skip if not valid.)

Month Day Year
Date
Have you been in contact with or have you tested positive for Covid? *

Yes No
I need an appointment by:

Month Day Year
Date
Referred by:
Location Wanted

Delray Beach, FL Zionsville, IN
In order to continue providing the best possible scheduling options to our guests, we require a 24 hour notice should you need to cancel or reschedule your visit. If you cancel your appointment time with less than 24 hour notice, a service fee of 50% of your original service will be charged before you can reschedule.
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