New Guest Appointment Request Form

Please fill out the form below to request an appointment at our salon as a new client .

We’ll be in touch within 1-2 days.

First Name *

Last Name *

Email Address *

Phone Number *

Do you have a preferred stylist? *

Desired Appointment Date * +

Upload a photo of your current hair in natural lighting. No selfies or filters.

Upload a photo of your hair inspiration: *

When was your last color service? *

Do you have permanent color on your hair? *

Has your hair ever been box dyed or colored at home? *

Do you have grey? *

Are you interested in Bellami Pro extensions? *

Do you have any medical conditions or take any medications that affect your hair? *

*We require a minimum of 48-hours should you need to cancel or change your appointment. Should you cancel, no-show, or change your appointment with less than 48 hours notice, you will be charged 50% of the scheduled appointment cost. Do you accept our cancellation policy? *

Yes

Done filling out of your form? Great! Click Submit, and our front desk services will contact you via phone within 1-2 days to schedule your appointment.

Please keep in mind that we require a card on file in order to book your appointment. You will receive a confirmation call 48 hours before your scheduled appointment if you have not replied YES to our confirmation text or email that is sent 72 hours prior to your scheduled appointment.

Mahalla Wild needs the contact information you provide to us to contact you about our products and services. You may unsubscribe from these communications at any time. For information on how to unsubscribe, as well as our privacy practices and commitment to protecting your privacy, please review our Privacy Policy.