First Name

Last Name

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Email *

Preferred Appointment Time:

Preferred Appointment Time:

Morning
Afternoon
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Hair Health

Select all that Apply

Healthly
Dry / Brittle
Breaking Shedding
Heat Damage
Allergies to parabens or sulfur
Growing but needs maintanance
Alopecia or Hair loss
Seborrheic dermatitis
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Select all that apply

Which service are you requesting?

Luxury Silk Press
Seamless Extension Install
Micro Link Extension
Tape Extensions
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Do you currently wear hair extensions or protective styles

Yes sew-in weave
Yes Micro link extensions
Yes Quick Weave
No
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Readiness to Book

This week
Within 2 weeks
Just exploring options
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How did you hear about us?

By submitting this form, I confirm that I am serious about achieving my hair goals, and ready for a luxury salon experience.