General Appointment Request Form
Let us know how we can help you!
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
What Service are you interested in?
Lash Extensions
Lash/Brow Lift/Tint
Waxing
PMU
What day of the week works best for you?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please give a brief description of the service you're interested in and any questions you may have regarding that service!
Thank You From The Beauty Bar KC!
Once I have received your Jotform, I will be reaching out with a more detailed email response to the service/questions you have inquired about!
Submit
Would you like to be notified about promotional services?
Yes
No
Should be Empty: