Contact Information Full Name (*) Daytime Telephone (*) Evening Telephone Your Email (*) Appointment Preference From Date(*) To Date(*) From Time(*) To Time(*) Gift Certificate Number (If you'll be using a gift certificate, please enter the number here) Please select the services you'd like to enjoy during your visit Hair —Please choose an option—Balayage ColorBang TrimBlow Dry and StyleColor And StyleColor, Cut And StyleCurly Cut ServicesDimensional Color And StyleDimensional Color, Cut And StyleExtensions, ConsultationExtreme Color/Double ProcessHaircut, ChildHaircut, MenHaircut, WomenHighlight And StyleHighlight, Cut and StylePartial Highlight And StylePartial Highlight, Cut And StylePerm And StylePerm, Cut And StyleRelaxer And StyleRelaxer, Cut And StyleUpstyleUpstyle, Bridal Hair Removal —Please choose an option—Wax, AbdomenWax, ArmWax, BackWax, BikiniWax, Brazilian BikiniWax, ChestWax, ChinWax, Extended BikiniWax, EyebrowsWax, ForearmWax, Full LegWax, Full Leg With BikiniWax, Half LegWax, Half Leg With BikiniWax, LipWax, NeckWax, Side BurnsWax, Underarm Nails —Please choose an option—Acrylic, FillAcrylic, Fill with GelAcrylic, Full SetAcrylic, Full Set with GelAcrylic, RemovalGel ManicureGel Manicure, FrenchGel Polish RemovalGel Polish RepairGel Removal And Gel ManicureManicureManicure, FrenchNail Design, PER NAILPedicurePedicure, ExpressPolish ChangeRepair, PER NAILSpa ManicureSpa Pedicure Make-Up —Please choose an option—Special OccasionBridalFalse Eyelash ApplicationMake-up LessonEyelash TintEyebrow Tint Eyelash Extensions —Please choose an option—Lash Fill, 2 WeeksLash Fill, 3 WeeksLash Fill, 4 WeeksLashes, Full Initial Set Massage —Please choose an option—Hot Stone Massage, 60 MinMassage, 120 MinMassage, 30 MinMassage, 60 MinMassage, 90 minPregnancy Massage, 60 Min Facials —Please choose an option—Eminence Peel, ExpressFacial, Eminence SeasonalFacial, Gentlemen'sFacial, Infusion TreatmentFacial, Luxury Medi-InfusionFacial, MiniFacial, NuFACE TripleFacial, Osmosis Signature Facial Add-Ons —Please choose an option—RevitaPen TreatmentEminence Advanced PeelsEye Treatment Hair Service Operator —Please choose an option—Alysa VegaAmanda BlythAmanda PayneAmy WiedefeldAna KennyAngela StencilArmil CasemCarol Frank-ClarkCheryl WarshauerIleana CostantinoIrina ChiusanoJillian CasseraJoann BucklerKimberly Frierson-MooreKrystin LocantoreLaurie HillLucy AustinMargaret LopezMeghan BrownMignon GeigleinMimi KimMiranda BoydPatricia KraisserShelly SnookEmily ChikhaouiTrevae GoughFlora JakajJessi RollandAshlea StrottJulia DupuyMariah Lodise (Apprenticing Stylist) Hair Removal Operator —Please choose an option—Kelly RoswellNora VasquezColleen Doyle Nails Operator —Please choose an option—Fong DanNatashia Anderson Make-Up Operator —Please choose an option—Ana KennyNora Vasquez Eyelash Extensions Operator —Please choose an option—Jilian CasseraLucy Austin Massage Operator —Please choose an option—Kelly Roswell Facials Operator —Please choose an option—Kelly RoswellNora Vasquez Facial Add-Ons Operator —Please choose an option—Kelly RoswellNora Vasquez Any additional questions, comments, notes? If you know who you'd like to make your appointment with, please let us know here.
