Client Name *

First Name

Last Name

Pick Your Service *

Ladies - Wash & Style - $90

Ladies - Cut & Style - $100

Ladies - Wash, Cut & Style - $110

Ladies - Colour, Cut & Style - $175+

Ladies - Perm, Cut & Style - $190+

Men - Wash, Cut & Beard - $100

Men - Cut Only - $80

Are their any open wounds on the client's head? *

Hair services will be unavailable if there are any open wounds present

Yes

No

Are there any mobility/behavioural concerns for the Client? *

A caregiver is required for the client if the client has behavioural or mobility issues

Yes

No

Date of Appointment *

MM

DD

YYYY

Time of Appointment *

Hour

Minute

Second

AM PM

City You Are Located *

Etobicoke

North York (West of Bayview)

York

Vaughan

Woodbridge

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this a house or building? *

House

Building

Is there parking available?

Yes

No

May your photo be used in our website portfolio? *

(Occasionally, we upload photos of our clients to our website & other social media platforms to show off their new hairstyle)

Yes

No

Have you Booked with us Before? *

Yes

No