Hair Booking Form - barberellabeauty

Full Name *

First

Last

Phone Number *

Email *

How would you prefer us to contact you? Click all that apply *

Email
Text
Phone Call
Any

How did you hear about us?

If you heard about us from someone, please let us know who.

Which services are you interested in? (check all that apply) *

Preferred Days & Times (we are closed Sunday & Monday) *

Weekday Mornings
Weekday Afternoons
Weekday Evenings
Saturdays

Preferred Professional

In the last two years have you used ? Click all that apply.

Box Color
Henna
Direct Dye (ie Splat, Manic Panic, Pulp Riot, etc)
None of These

It is very important for us to know this information, as some chemicals may react with each other and cause unpredictable results or damage. We may require a test strand in order to move further with chemical services.

How would you describe your hair’s thickness? *

Very Thick
Thick
Medium Fine
Very Fine

Is there any additional information you would like us to know? (ie scalp or skin concerns, allergies or medication that might hamper hair or skin services)

Current Hair Photos (required for hair appointments) *

Click or drag files to this area to upload. You can upload up to 10 files.

Please upload an image of the top of your hair in natural light. Ideally from front, side and back.

Inspiration Photos (required for hair appointments) *

Click or drag files to this area to upload. You can upload up to 10 files.

Include any images you have found that will help determine your end result. Limit of 10 images allowed.

<span class="dojodigital_toggle_title">Hair Booking Form</span>

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