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NEW CLIENT INTAKE
Full Name
Email
Phone
How you hear about our salon?
Which services are you interested in? (e.g. haircut, coloring, styling, etc.)
Do you have any specific requests for your hair service?
Have you had any hair treatments in the past 6 months?
Yes
No
Do you have any allergies or sensitivities to hair products?
Yes
No
Admission fee for this course is $10
Have you ever experienced any adverse reactions to hair treatments or products?
Yes
No
Is there anything else you would like us to know?
Please upload photos you would like to share.
Upload File
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SUBMIT
You will receive a response from our team shortly.
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