Appointment Request Form

1
Full Name* This field is required.
First Name
Last Name
2
Phone* This field is required.
Area Code
Phone Number
3
E-mail* This field is required.
4
What services are you interested in?* This field is required.
5
Do you have any grey hair? Are you trying to cover it or blend it in?
6
* This field is required.Upload a photo of what your hair looks like currently. (this ensures I know exactly what we are working with to give you the best results!)
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
7
Now upload 1-3 inspiration photos
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
What is the number one thing you wish you could change about your hair?
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Large
Normal
Small
Ok
Ok
9
Do you have any medical conditions affecting your hair?
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Large
Normal
Small
Ok
Ok
10
All hair service pricing is determined by the time needed and cost of supplies. We will discuss your investment during your consultation. Do you prefer:
In SalonPhone
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Starting prices for services: Haircuts: $200 Color: $460+ Extensions $1200-$3000+ Retainers for hair extensions start at $500. $100 for all other services. The retainer is due when booking your appointment. They go towards your service and are non-refundable. Please call before 48 hours of your service to change time or day and to avoid rescheduling fee of $200. Are you ready to schedule your consultation for low maintenance healthy hair?
YES
NO
Type option 3
Type option 4
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Should be Empty: