New Client Request Form
New clients include anybody that hasn't sat in my chair in over a year. Must be wanting color and/or extensions. I'm no longer accepting new haircut only services.

Please allow 1-4 business days for a response.
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First & Last Name *
Phone *
Email *
How did you find me? *
If referred by someone else please name them here.
If discovered through a search please list if you found me through the Salon Loft website or my own personal website hairbyrebeccalynn.com.
Desired Service *
Are you currently wearing extensions or have you worn them in the past? If so how was your experience? *
Please explain any other hair history and previous treatments. Example: Got a relaxer 1 year ago & have had permanent hair color *
When are you available to come in? Example: After 4 during the week or any time on Mondays *
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