New Client Registration Form Name * First Name Last Name Email * Phone (###) ### #### How did you hear about us? * Instagram Google Friend/Family Other Is there a specific Bloom stylist you have in mind? Is there a specific day that works for you * Monday Tuesday Wednesday Thursday Friday Saturday Sunday (for specific services) Service requested * Balayage/Foil Single Process Gloss Haircut Blowout Special Event Style Hair Extensions Keratin Straightening Consult Unsure of exactly what I need Current Hair Length * Extra Short (above chin length) Short (above shoulder length) Long (chest length) Extra Long (past mid back) Hair Texture * Fine Medium Thick/Course Curly Do you have gray to cover? * Yes No Have you had any of the following treatments done in the past 6 months? * Boxed at home dye Keratin Treatment None of the above Do you have any allergies? Anything else specific you would like us to know? Are you 18 or older? Yes No What are your hair goals? New color clients, please provide below photos: By checking here you agree to our cancellation policy link below. This form is a new client consultation form that allows Bloom to obtain information regarding the potential scheduling of a future appointment. I agree By checking here you understand that the appointment price quoted may vary depending on the length and thickness of you hair, or any changes made made to the appointment day of at the discretion of the stylist I agree Thank you!
