Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Birth

MM

DD

YYYY

Peferred contact method *

Email

Text

Who will you be your service provider for your last appointment? *

Davida

Fernanda

Gina

Lorraine

Lucie

Michelle

Mara

I don't know yet

Are you looking to have a dramatic change? If so, your service provider may have to consult with you prior to your appointment. *

No changes at this time.

Yes please!

No thank you.

I will send photos of what I want done and goals via email prior to coming in.

Not sure yet.

What changes have you made to your hair during the shutdown? *

I used boxed color.

Home remedies

I may have to cut it.

I NOW HAVE BANGS!

I've been so good.

Other

I understand all guests will be greeted at the entrance and walk-ins are not permitted at this time. *

I understand

I understand that with new regulations in place, I will NOT bring family members or friends to my appointment. *

I understand.

I will confirm with Lorraine's House of Styles by checking in via text or upon arrival by calling 201-217-3136 *

I understand.

I understand that I will need to wear a mask to my appointment. I also understand not to wear my fancy Etsy mask to my appointment. *

I understand

I understand that a mask is necessary and Lorraine's House of Styles will provide one for me if I forget mine for the small fee of $3. *

Got it.

I understand I have to make an appointment for all the services I want prior to coming in. Lorraine's House of Styles may NOT be able to accomodate add on services at this time. *

Got it.

I understand that if the salon is at full capacity you will be informed when to enter the premises. *

Yes

I understand all large personal items such as large handbangs, shopping bags and other large items are not permitted at this time. *

I understand

I understand if I'm late for my appointment I will be rescheduled and charged a 100% service fee.

Got it. I understand.

I understand my appointment must be cancelled 24 hours prior to my scheduled time or I will incur a 50% service fee of my appointment. *

I understand.

Today's Date

MM

DD

YYYY