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dirty blonde salon

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DIRTY BLONDE CARTEL

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Give us the dirt!

New Client Form

Tell us about your hair

First Name

Last Name

Email

Phone

Do you have well water?

Tell us something about your hair...(ex. long, fine, thick, damaged, curly etc.)

What is the current condition of your hair?

Hair Loss

Damage due to heat

Split ends

Breakage

Itchy Scalp

Hair is dry

Dandruff

Damage due to color/lightening

Have any of these been used in your hair before?

Permanent haircolor

Semi-permanent haircolor

Vivid/Fashion color

Keratin Treatment

Permanent relaxer/straightener or Perm

Henna haircolor

at-home Box Color

How long is your hair? ("medium" is on or around your shoulders)

short

medium

long

How often do you wash your hair?

Every day

Every other day

Twice a week

Once a week

When did you last visit a hair salon?

When did you last apply professional or unprofessional color in your hair?

To help us prepare for your appointment, please upload an image of your current hair

Upload File

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If you'd like, please upload an image of hair you like

Upload File

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List the hair products you are currently using and their purpose

YOU CAN NOW GO AHEAD AND BOOK YOUR APPOINTMENT (if you haven't already) Please leave any other comments, questions, or special instructions here

How did you hear about us?

Facebook

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Google search

Referred by a friend

Drive by / Walk by

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676 Hope Street, Bristol, RI 02809

dirtyblondesalon3@gmail.com \ Tel: 401-200-8772

OPENING HOURS

Tue: 11:30am - 8pm

Wed: 10am - 6pm

Thur: 8:30am - 5pm

Friday: 10am - 6:30

Saturday: 8:30am - 3:00pm

Sunday - Monday: Closed

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