Client Intake Form
Due to limited availability and high demand for services in the salon, potential clients are required to request an appointment by filling out the client intake form below. My team will reach out within 72 hours with further booking information and recommendations.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Would you consider yourself a local of the surrounding salon area?
*
Yes, I live nearby.
No, I live far away and travel for this appointment.
Back
Next
What service(s) do you desire to receive?
*
Custom Color (Lighter Color or Blonde)
Full Color (Darker Color or Natural Color)
Relaxer
Silk Press
Haircut & Style
Tape-Ins
Micro-Links
Sew-In
Clip-Ins
iTips
Do you have any hair or scalp issues we need to be aware of ? If no, select N/A.
*
Hair Loss
Dandruff
Alopecia
Eczema
Psoriasis
N/A
Do you have any allergies we need to be aware of ? If yes, specify. If no, insert N/A.
*
Tell us about your hair and any concerns you have for your appointment.
*
Please upload a photo of your hair's current state. (Front View)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a photo of your hair's current state. (Back View)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload an image of your inspirational look or color. (1)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload an image of your inspirational look or color. (2)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How did you find Kendra Alia?
*
Instagram
Facebook
TikTok
Other
I understand that by filling out this form, I agree to be recorded for social media and/or educational purposes.
*
Yes, I understand
Submit
Should be Empty: