New Guest Form | Bella Rose Salon

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Name

Cell

Birthday

Would you like to receive special offers?

Yes

No

Email

How did you hear about us?

Hair History

Have you ever used box color?

Do you have well water at home or at school?

Have you had corrective color within the past two years?

Have you had bleaching within the past two years?

Have you had perm/relaxer within the past two years?

Have you had a keratin treatment in the last year?

Are you currently on any prescribed medication?

Do you have any allergies we should be aware of?

To the best of my knowledge, I am not showing any signs of sickness including: cough, fever, tiredness, difficulty breathing.

I understand the company’s last minute cancellation and no- show policy

Thanks for registering. See you there!

Learn more about our Salon Policies

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