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Name *

First

Last

Email *

Phone Number *

Date / Time Requesting *

Date

Time

Next

Service Requesting *

• Hair Services
• Nail Services
• Hair Removal
• Skin Care
• Massage
• Spa Packages

Hair Services *

• Consultation
• Women's Haircut
• Men's Haircut
• Children (8 & under)
• Children (9-12 years old)
• Blow Dry & Style
• Flat Iron
• Special Occasion/Updo
• Bridal Updo
• Bridal Trial Updo
• Hair Extensions
• Touch-Up
• All Over Color
• Partial Highlights
• Full Highlights
• Toners
• Corrective Color
• Permanent Wave (partial)
• Permanent Wave (full)

Nail Services *

• La Bella Manicure
• Martini Manicure
• French Manicure
• Acrylic/Fiber (full set)
• Acrylic/Fiber (fill in)
• Polish Change
• Nail Repair
• Teen Pedicure & Manicure
• No Chip Manicure
• La Bella Pedicure
• Martini Pedicure

Hair Removal *

• Brow (initial)
• Brow (maintenance)
• Upper Lip
• Chin
• Side of Face
• Half Leg
• Full Leg
• Under Arms
• Bikini Brazilian
• Back
• Half Arm
• Full Arm

Skin Care *

• European Facial
• Men's Facial
• Back Facial
• Salt Glow & Body Treatment
• Eye Treatment
• Lip Treatment
• Eye & Lip Treatment
• Eyebrow Tinting
• Eyelash Tinting
• Paraffin Treatment
• Eyelash Perm
• Asian Ear Candling
• Microdermabrasion
• Make-Up Application
• Bridal Make-Up Application

Massage *

• Swedish
• Deep Tissue
• Aromatherapy
• Hot Stone | Baby & You
• Customized Massages

Spa Packages *

• The Works
• You Knead It
• For Men Only
• Bridal/Special Occasion

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Stylists *

• Lisa Jurkus
• Amanda Neuzil
• Rose Doody
• Vera
• Audrey
• No Preference

Nail Technicians *

• Maria Kucyero
• No Preference

Estheticians *

• Genevieve Paisker
• Andria Tirabasso
• No Preference

Anything Else We Should Know?

Phone

Request