Transformative Haircut Form

Transformative Haircut Request Form

First name

Last name

Phone

Please enter a valid phone number.

example@example.com

Multi-line address

Country/Region

Address

City

Zip / Postal code

The following criteria must be met in order to be considered for a grey blending, modern blonding, or transformative haircut with Emily:

Emily is located in Atlanta, GA near the Eastside Beltline trail. Are you willing to travel to our salon for your transformative haircut as well as any maintenance services required after?

During your service, are you comfortable with your hair and face on camera for the purpose of use on Emily’s social media?

Please provide at least one photo of your current hair:

Photo from the front:

Photo from the back:

Photo from the side:

Please provide at least one goal photo:

Upload your goal photos here, and in the space below, please describe what you're looking to achieve.

1st Goal Photo:

2nd Goal Photo:

3rd Goal Photo:

What do you like about the goal photos you've submitted? What are you trying to achieve? Go into as much detail as you'd like:

Thank you for your interest in scheduling a service with Emily.

Please note that your submission will be ineligible for consideration if any of the information requested in this form is not included.

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