NEW CLIENT APPLICATION Name * First Name Last Name Email * Phone (###) ### #### HAIR HISTORY Have you had permanent color or box dye done in the last 5 years? * When is the last time you had your hair colored? * Have you ever had gray coverage or gray blending? * Yes No What is your ideal maintenance frequency? * 4 to 6 Weeks 6 to 8 Weeks 8 to 12 Weeks 12+ Weeks Have you ever had hair extensions before? * Yes No Please upload 3 images of your current hair Front, Side and Back of your hair in Natural Indirect LIght or Shaded Outdoor Lighting * FileField; MaxSize=5000KB; Multiple; addText=Upload_Your_Current_Hair Images Please upload 3 hair inspiration images. * FileField; MaxSize=5000KB; Multiple; addText=Upload_Your_Inspiration_Images Describe what you love about these inspiration images: * Thank you for filling out the new client application! I will be in touch shortly!