Appointment Request Form for Returning Clients

Appointment Request Form for Returning Clients

First and last name:: *
Cell phone:: *
Email:: *
--if you would like to receive text message appt reminders enter your cell phone provider (e.g. Verizon, Sprint, etc)::
CUT? (curly cut, young adult curly cut, children's curly cut, straight cut, young adult straight cut, children's straight cut)::
--provide date of birth for teen or kid's cut::
COLOR? root touch-up and/or all-over color (glaze)::
HIGHLIGHTS? top, partial or full::
WAX? lip, chin and/or eyebrows::
Additional services (eyebrow color, deep conditioning treatment, blow-out, consultation)::
Would you like to see Jo, Jesse, Luvena, Jane or no preference:: *
1st choice for an appointment (day, date, time):: *
2nd choice:: *
3rd choice:: *
Enter any additional information you'd like us to know::