New Client Form

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If you’re unsure which service to book, please complete this form so I can personally guide you toward the best option for your hair goals.

First Name

Last Name

Phone

How did you hear about me? * Required

Google

Yelp

Instagram

Facebook

Tiktok

Referral

What type of service are you interested in? * Required

Haircut

Gray Coverage

Full Color

Money Piece Only

Partial Dimension

Full Dimension

Partial Blonding

Full Blonding

Keratin Treatment

Kindly provide a brief summary of your hair history over the past three years. This should include any professional color services, use of box dye, lightening or bleaching treatments, as well as any chemical services such as relaxers, keratin treatments, or at-home treatments that may have affected the condition of your hair

What haircare brands do you currently use?

Describe what you would like to achieve during your visit

Kindly upload a recent photo of your hair taken in natural lighting. Please ensure the photo is clear, unfiltered, and shows your hair in its entirety—from roots to ends

Upload File

Upload supported file (Max 15MB)

Kindly upload one inspiration photo that best represents the look you’re hoping to achieve. This can reflect your desired hair color, cut, or overall style.

Upload File

Upload supported file (Max 15MB)

Preferred Appointment Days * Required

Wednesday

Thrusday

Friday

Saturday

Preferred Time of Day * Required

Morning

Noon

Afternoon

Any

I acknowledge that not all desired results can be achieved in a single appointment and that some services may require multiple sessions.

Thank you for reaching out. We’ll be in touch within 48 hours—please check your spam folder in case our reply gets rerouted.

HOURS

BY APPOINTMENT ONLY

MON: CLOSED
TUES : CLOSED

WED: 9 AM — 5 PM
THUR : 9 AM — 5 PM

FRI : 9 AM — 5 PM

SAT. 9 AM — 3 PM

SUN: CLOSED

ADDRESS & PHONE

LOCATED INSIDE PHENIX SUITES

6553 E PACIFIC COAST HWY, SUITE 122 LONG BEACH, CA 90803

213-260-1508

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