Name *

First Name

Last Name

Phone *

(###)

###

####

Appointment type requested? *

Please check all that apply

Men's haircut

Women's haircut

Children's haircut (10 and under)

Color Services (Color, Highlights, Lolights, Balayage, etc)

Brazilian Blowout or Keratin Smoothing Treatment

Straightening Treatment (Milbon Liscio)

Extension Implementation and/or Consultation

General Consultation

Other/not sure

Agree to our terms? *

By checking yes to the box below you have read and understand that this is a request for an appointment and that our Appointment Coordinator will contact you to confirm your appointment's exact date and time. Please note, we do require a minimum of 24 hours' notice to cancel or reschedule an appointment. No-shows and last-minute cancellations are subject to a fee of 50% of your scheduled services or $25, whichever is greater.

Yes