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EXTENSION APPOINTMENT APPLICATION
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HAIR EXTENTION APPLICATION
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
DO YOU HAVE ANY KNOWN ALLERGIES?
*
NO
YES
ARE YOU ON ANY MEDICATION THAT CAN RESULT IN HAIR LOSS?
*
NO
YES
ARE YOU PREGNANT OR RECENTLY GIVEN BIRTH?
*
NO
YES
DO YOU HAVE A SENSITIVE SCALP OR ANY SCALP CONDITIONS?
*
NO
YES, SENSITIVE SCALP
YES, SCALP CONDITION
ARE YOU RECOVERING FROM ANY MEDICAL CONDITION THAT IS CONNECTED TO HAIR LOSS? (CHEMOTHERAPY, ALOPECIA, ETC.)
*
NO
YES
DESIRED EXTENSION METHOD
*
HANDTIED WEFT
TAPE IN
NOT SURE
I AGREE TO GIVE A DEPOSIT TO BOOK APPOINTMENT (COST OF HAIR)
*
LENGTH
VOLUME
BOTH
I AGREE THAT I MUST LEAVE A NON REFUNDABLE DEPOSIT TO BOOK AN APPOINTMENT FOR THE PRICE COST OF HAIR NEEDED
*
I AGREE
I AGREE THAT I UNDERSTAND THE INFORMATION PROVIDED TO ME AND THAT I WILL NOT HOLD EAST COAST SALON, OWNERS OR STYLIST RESPONSIBLE FOR ANY DAMAGES CAUSED BY HAVING SUPPLIED INCORRECT INFORMATION.
*
I AGREE
I AGREE TO FOLLOW ALL HOME CARE PROCEDURES RECOMMENDED BY EAST COAST SALON AND ACKNOWLEDGE THE PRODUCT IS NOT GUARANTEED IF ALTERED OR MISUSED.
*
I AGREE
I AGREE AND UNDERSTAND A DEPOSIT IS DUE UPON DAY OF IN PERSON CONSOLATION TO SECURE MY APPOINTMENT. FOR THE DAY OF MY APPOINTMENT I AM RESPONSIBLE TO PAY THE APPLICATION FEE AND ANY COLORING COSTS.
*
I AGREE
I AGREE TO ALL EAST COAST SALON POLICIES AND AGREEMENTS. I AGREE THAT IF I NO SHOW MY APPOINTMENT, I FORFIT MY DEPOSIT, HAIR AND WILL BE CHARGED %50 OF INSTALLATION.
*
I HAVE READ AND AGREED TO ALL POLICIES ON WEBSITE
CURRENT HAIR FROM THE BACK
*
Max file size: 20MB
CURRENT HAIR FROM FRONT
*
Max file size: 20MB
HAIR GOAL
*
Max file size: 20MB
HAIR GOAL
*
Max file size: 20MB
Submit
polices and agreement
Home
Request an appointment
EXTENSION APPOINTMENT APPLICATION
Menu
Meet Our Team
Why Truss?
Directions & Contact
Become a part of our team
