Braids, Fades & Bright Futures                             Back-to School Drive      
Client Registration Form
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Name of Parent / Guardian *
Name of Child *
Age of Child *
Sex  of Child *
Required
Does your child have any special needs, disabilities or is allergic to any  specific hair product? *
Required
If you answered "yes" to the question above please state briefly the needs of your child. *
Please select your 1st choice for the time of you appointment. *
Required
Please select your 2nd choice for the time of you appointment. *
Required
Please select a hairstyle/haircut *
Required
Submit
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