New guest form | Haley Dilley Hair

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New Client Appointment Request Form

First Name

Last Name

Email

Preferred Pronouns

What is your hair like?

Fine

Medium

Thick

Exremely Thick

What is your hair texture?

Straight

Wavy

Curly

What is the lenth of your hair

Long

Medium

Shorter -Above shoulders

Pixie/clipper cut

Extremely Long

Do you have concerns with your hair or scalp?

How did you hear about me?

What services are you looking to recieve? Prices are starting & a la carte.(select all that apply) I am not taking new color guests at this time.

Hair Cut $50+

Gloss $45+

Customized Treatments $25+

Facial Waxing $15+

Brazilian Blowout Consult

In Person Consult

What days work best for you?

Tuesday

Wednesday

Friday

What times work best for you?

Mornings

Afternoon

What is your budget for your hair service?

Anything else I should know?

Please include a photo of your current hair and an inspiration picture of your new cut.

(If you need to send more photos, please send them to this email)

Upload File

Upload supported file (Max 15MB)

Upload File

Upload supported file (Max 15MB)

Upload File

Upload supported file (Max 15MB)

I have read, understand, and agree to all of the policies Apothecary Hair Studio has in place. If you have not read them please visit my salon policies page.

Agree

Thanks for submitting!

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located at Fringe Salon and Spa 381 Yellowstone Ave

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