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Application for Color Service Appointment

HAIR COLOR APPLICATION — achieve your hair color goals.

* = required information

Please fill out the form below prior to your color service appointment as this will ensure our team is prepared and ready to help you meet your color goals.

About You

FineMediumCoarse
YesNo

Upload Photos

Follow the instructions below to upload your CURRENT PHOTOS.

  1. Must be a photo of your current hair.
  2. You may use your cell phone.
  3. Take in natural lighting indoors (No Flashes or Direct Sunlight)
  4. You will take two photos - Front and Rear Headshots.

Color Questionnaire

VirginColor TreatedChemically Treated
YesNo
Stick with my current colorMinor adjustments to my current colorChange my color radically
NoneBrazilian Keratin TreatmentHennaStripped ColorVegetable Dye
NoneBreakageDry ScalpHair LossHair SheddingHair Thinning

Health Information