NEW CLIENT FORM Name * First Name Last Name Email * Phone * (###) ### #### Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthday * MM DD YYYY Emergency Contact * Emergency Contact Number * (###) ### #### How did you hear about me? * Have you ever had an adverse reaction to hair color? * Yes No Service Re-Do & Retail Return Policy * I strive to offer my guests the highest level of guest satisfaction. If you are having challenges with your cut or color, let me know within 7 days of your visit and I'm happy to correct the issue with no additional charge. Should you make a retail purchase that you are unsatisfied with, I will accept retail exchanges at full credit for 30 days from your initial purchase. Agree Future Cancelation Policy * In order to continue providing the best possible scheduling options to my guests, I do require 48 hours notice should you need to cancel or reschedule your visit with me. Should you cancel your appointment with less than 48 hours notice, a $25 per service cancelled fee does apply and will be due before a new appointment is scheduled. Agree Thank you! I will be in touch soon.