Name *

First Name

Last Name

Phone *

(###)

###

####

Have you visited Belle Sirène Salon before?

Yes

No

What services are you interested in? *

Please select all that apply:

Short Haircut

Mid/long Haircut

Curly Haircut

Highlights

Balayage

Grey Coverage Root Touch up

Luxury Blowdry Experience

Extensions

Keratin Treatment

Brow Lamination

Brow Tinting

Brow Wax

Face (wax/thread)

When was the last time you used boxed hair coloring/at home hair coloring?

Please complete if applicable:

MM

DD

YYYY

If you need to cancel or reschedule your appointment, we kindly ask for all to be made a minimum of 48 hours prior to your scheduled appointment time by calling or emailing Belle Sirène Salon. This allows us enough time to offer your appointment to another guest. If a cancelation is not made within the specified time frame, we will invoice or charge the credit card on file 50% of the total cost for your scheduled appointment. Do you accept the terms of this policy? *

Yes