Essential Personnel Free Service Voucher Request Form
If you want to nominate someone to receive, or request for yourself, a complimentary shampoo, haircut and blow out at Yaffa Beauty by Rica, located in Norwalk, CT. We hope you understand that we will be reviewing requests, and those that qualify will receive vouchers via email, which will also be saved on account with us, that will be able to be redeemed later. All services will be provided by appointment.

All medical/hospital personnel that worked during this stay-in-place period, first responders, city, state & utility workers,  grocery & restaurant owners & workers,  pharmacists, and all those that were determined as essential personnel,  that is able to show they worked during this time will be approved. If, for whatever reason, someone who applies does not receive a voucher automatically, we will reach out to get more information.

Recipients must make an appointment in advance and all complimentary services provided at our location, 115 Main Street, Norwalk, CT 06851. Once you receive your voucher, we will follow up via email giving your information.
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Email *
First Name *
Last Name *
Mobile Phone Number *
I am requesting a Complimentary Shampoo, Haircut & Blow Out on behalf of: *
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