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Appointment
Intake Form
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Intake Form
Thank you for booking an appointment with me.
Please take a moment to fill out the information below and add pictures so I can better assess how much time will be needed for your appointment. I look forward to getting you booked and giving you the fresh new look and feel you deserve.
Name
(Required)
First
Last
Have we previously discussed your appointment?
(Required)
Yes
No
Phone
Email
(Required)
Please upload 4 images of your hair from different angles as labelled below.
Hair from the Front
(Required)
Max. file size: 6 MB.
Hair from the Right
(Required)
Max. file size: 6 MB.
Hair from the Left
(Required)
Max. file size: 6 MB.
Hair from the Back
(Required)
Max. file size: 6 MB.
Is there anything I should know about the service you are looking to book today?
(Required)
Consent
(Required)
I understand and agree to the statement.
I understand that being late may force my appointment to be rescheduled and that a charge of 50% of my expected service may also be charged.
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