New Client Application

Please complete this form to ensure that Valerie is the right fit for your needs. Upon approval, you will receive instructions on how to book your first appointment.

Where you aware Honey & Mane base level package "Mane Curl" services start at $315+?

Yes

No

If you have any questions on pricing. Please fill out the form, and I will happly answer them when we talk.

How did you discover Valerie? *

Please let me know what service you think you might need *

How soon are you looking to schedule your service? *

ASAP

Within 30 Days

More Than 30 Days

Your hair story in the last 3 years? *

I have colored my own hair (box color)

I have not colored my hair in the last 3+years

I have had my hair colored professionally

I have used Hanna

I have had a relaxer or straitening treatment

If you are wanting color, please upload 2-3 of your hair (front & back) in natural light

Please upload 2-3 inspirational photos

First Name *

Last Name *

Phone *

Email *

What is your Instagram Username?