Co-Vid Registration

Client Registration Form

In keeping with Queensland Government current legislation, we ask that you complete this form relating to Co-Vid 19 while we work to keep you safe. We appreciate your patience and cooperation

Date

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Arrival Time *

Departure Time *

If you would like to get the latest information and industry quick tips on how to take the best care of your hair in between your appointments with us,please check this box

Choose Any *

Yes, please include me No, Thank you

Submit

Client Registration Form

In keeping with Queensland Government current legislation, we ask that you complete this form relating to Co-Vid 19 while we work to keep you safe. We appreciate your patience and cooperation

We Would Love to Have You Visit Soon!

Telephone

Email