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
Describe any problems or issues you are having with your hair. (Please note: hair color corrections or hair color changes can take multiple appointments to correct. One day color changes rarely happen.)
Please upload a current picture of your hair in natural light and taken WITHIN THE LAST 24 HOURS. NO FILTERS PLEASE. *

Upload a File
Max Total Upload Size: 500MB Cancel of
Upload desired pictures of the hair you want. Please be realistic and show us different choices. *

Browse Files

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When was the last time at home hair color (box hair color) was applied by you? (NON PROFESSIONAL HAIR COLOR) *

Within the last year. 1 year ago. 2 years ago. 3 years ago 4+ 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.) Level 4 Stylist Alexis, Level 2 Stylist Carmen, Level 2 Stylist Sophie, Level 2 Stylist Makena, Level 1 Stylist
Budget & Skill Level of Stylist If No Preference In Stylist As Indicated Above. (Our Stylists have different pricing based on experience.)

Level 1 $ Level 2 $$ Level 4 $$$$
What kind of hair extensions are you wanting?

Tapes (We only install or move up tape brands we use.) Weft Hair Extensions (We only install or move up weft hair we sell.) Klix Dreamcatchers or I Tips Don’t know None
Hair type

Straight Wavy Curly Have Keratin In Now
Which sentence is MOST important in how you feel about your hair now.

I want to have the right hair color. I want to have healthy hair.
Is your hair?

Healthy Dry Damaged
Do you understand that based on the health of your hair, your desired look can take multiple appointments to achieve? *

Yes No
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
I Have Reviewed The Salon Pricing. https://www.amandamajor.com/servicesflorida. *

Yes No
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.

By clicking the link below, I agree to the above statement.
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