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NEW CLIENT CONSULTATION FORM

READ BEFORE COMPLETING

PLEASE CALL THE SALON BEFORE SUBMITTING YOUR CONSULTATION FORM

SALON PHONE: (618)744-7467

Your Info

Birth Month
Day
Preferred method of contact?
Text
Call
Email
How did you hear about us?
Preferred Stylist?
Cleo Hall-Moore
Traci Malone
Steven Martin
No preference

Hair History

What service are you coming in for today?
Do you currently have a relaxer?
Yes
No
Have you ever experienced any scalp sensitivity, chemical burns, or hair damage during or after a service?
Yes
No
Do you color your hair?
Yes
No
What is your natural hair texture?
What is your natural hair's density?
Fine
Medium
Thick
Do you have any of the following concerns?

Lifestyle & Hair Goals

How often do you style your hair at home?
Daily
Weekly
Occasionally
Rarely
Do you work out or sweat heavily during the week?
Yes
No
Are you open to professional product recommendations for your hair needs?
Yes
No

Medical & Sensitivity Alert

Do you have any allergies (including latex, oils, or product ingredients)?
Yes
No
Are you currently pregnant or breastfeeding?
Yes
No
Are you taking any medications that affect your hair or skin?
Yes
No

Policies & Agreement

Cancellation Policy

We understand that life happens! We kindly ask for at least 48 hours notice when cancelling or rescheduling your appointment.


Same-day cancellations require payment in full for the scheduled service, unless otherwise discussed with your beauty professional. No-call/no-shows will result in the loss of future booking privileges at The Glam Experience.


Thank you for respecting the time reserved especially for you!


Booking policies:

  • I understand that The Glam Experience has a 15-minute late policy. After 15 minutes, my appointment may be rescheduled or canceled.

  • I understand I will be charged a cancellation fee if I don't cancel within 48 hrs of my scheduled appointment.

  • I understand that results vary based on my hair condition, history, and at-home care.

  • I agree to follow the recommended maintenance schedule and care routine for best results.

  • I give permission for before/after photos to be taken and used for promotional purposes (if applicable).

  • I have answered this form truthfully and to the best of my knowledge.

By submitting this form, you agree to the policies above.

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