First & Last Name: *

Email: *

Telephone Number: *

Which type of service are you requesting? *

Which Creative are you interested in booking? *

For all Hair Services, please continue and complete the rest of the Questionnaire.

Which service are you requesting? *

When was your last color service? *

What don't you like about your current hair? *

Have you ever had a Brazilian Keratin Treatment, Japanese Straightening, Stripped your Color, or used Henna/Vegetable dye? *

If so, when? *

Do you have Grey Hair to cover? If so, what percentage? *

Do you have extensions? If so, what type? *

Upload your Current Hair photo (File must be under 100 MB): *

Upload a Goal Photo (File must be under 100 MB): *

Client Release Form

By checking the "I AGREE" box, I release Hair Makeup Beauty and stylist from any responsibility and or liability concerning the application processing and or consequenses of the permanent chemical procedure of my hair. I release and hold Hair Makeup Beauty, its employees and its agents harmless against any and all liability, damage and or expenses rising out of or in connection with actions, claims an or damages resulting in personal injuries (physical and or psycological) that i might incur as a result of the chemical altercation through permanent chemical processing of my hair. I understand that additional conditioning treatment may be recommended and or necassery for my hair maintenance and that permanent damage to my hair is possible due to the chemical application. Also I understand it may take multiple sessions to reach my goal hair. *

I AGREE

Cancellation Policy

We ask that you sign an authorization form to hold your appointment. You won't be charged prior to your appointment.

Important:

For Hawaii location: if you fail to cancel within 24 hours or don't show, you'll be charged half of the service charge.

At HMB, we want your salon experience to be as enjoyable as possible. In order to expedite your service, we ask that our clients arrive on time. We will do our "best" to ensure that your appointment begins on time and is completed in a timely fashion.

However, if we are running behind schedule, we will call you in order to prevent you from having to wait.
The salon cannot guarantee services to clients who arrive later than 15 minutes after their scheduled time. If you call to inform us that you are running late, we will offer a 15-minute grace period. However, the salon reserves the right to refuse service to clients who are more than 15 minutes late to an appointment.

Credit Card Entry:

Name on Card: *

Credit Card Number: *

Select Card Type": *

Visa

MasterCard

Amex

Discover

CVC: *

Expiration Date: *

Billing Zipcode: *

BY CHECKING THIS BOX I AGREE TO AND UNDERSTAND THE CANCELLATION POLICY: *

I AGREE

Enter the word in the image, so we know you're human: *
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Thank you for your application. After you submit, you will be notified within 72 hours upon approval via email response to further the booking process.