Name *

First Name

Last Name

Phone *

(###)

###

####

What services are you interested in? *

Haircut Service 1-2Hrs

Full Custom Blonde 4+Hrs

Partial Dimensional Custom Bronde 3+Hrs

Roots + Gloss Blowout 3Hrs

Blowout + Style 1Hr

Keratin Complex Smoothing Treatment 3+Hrs

Clipper/Scissor Cut 1Hr

Preferred Date *

MM

DD

YYYY

Time *

Hour

Minute

Second

AM PM

Preferred Date *

MM

DD

YYYY

Time *

Hour

Minute

Second

AM PM

How would you describe your hair? *

Fine

Medium

Thick

Course

Straight

Wavy

Curly

Damaged

Oily

Has your hair ever been box dyed or colored at home? *

Yes

No

Do you have grey? *

Yes

No

Do you use permanent color on your hair? *

Yes

No

Not sure

Regarding all appointment requests, a non-refundable deposit of $50 is required to finalize scheduling. The total deposit provided will be deducted towards the total balance on the day of service. Please note, all deposit transactions are final and are not refundable. If a schedule change is being requested, the total deposit provided to secure the original appointment will be honored so long as the requested schedule change is submitted via text message two business days prior to the original scheduled service. Any appointment change requests submitted after this window will result in a forfeit of the original appointment and deposit. A new deposit will be required to schedule a new appointment. *

I understand and agree to dommhair's policy.

Yes