amanda’s services

Name *

First Name

Last Name

Phone *

(###)

###

####

Preferred Method of Contact

Email

Text

Call

Service(s) Needed

Blowout + Style

Cut + Style

Men’s Cut

Children’s Cut

Express Keratin Treatment

Regular Keratin Treatment

Upstyle

Do you also need services with Lo?

Toner /Glaze

Root Touch Up

All Over Color

Hairline Foil

Partial Highlight

Full Highlight

Hairline Balayage

Partial Balayage

Full Balayage

Color Correction - Upon Consultation

Preferred Appointment Date – 1st Choice *

MM

DD

YYYY

2nd Choice *

MM

DD

YYYY

3rd Choice

MM

DD

YYYY

Preferred Appointment Time *

Hour

Minute

Second

AM PM

Did someone refer you?

Yes

No

I have read and agree to the cancellation and late policy *

CANCELLATION POLICY L + A has a 24 hour cancellation policy if you decide to cancel or reschedule your appointment. If you cancel/ reschedule after the 24 hours you will owe 50% of your scheduled appointment. No shows will owe 100% of the scheduled service. After canceling / no showing two appointments a card must be left on file. LATE POLICY Please contact L + A if you are going to be late. If you are more than 15 minutes late you will have to reschedule your appointment.

Yes