Legal Name *

Must match current ID

First Name

Last Name

Are you at least 18 yrs old with a valid ID? *

Yes

No, but I will be! (we will plan around your birthdate, provided below)

Birthday *

MM

DD

YYYY

Phone *

–will only be used if I need to contact you urgently–

(###)

###

####

Availability *

Please check all that apply!

Friday Nov 1

Saturday Nov 2

Sunday Nov 3

Monday Nov 4

Tuesday Nov 5

Wednesday Nov 6

Deposit Agreement *

Please see the FAQ section for more details about Rescheduling + Cancellations, etc.

I understand I will be required to make a NON-REFUNDABLE $100 deposit to hold my appointment

I understand that inquiring does not guarantee me an appointment (I accept projects at my own discretion)

I have read through the FAQ + Aftercare pages and will refer to them when needed