Extension
Model
Request

First Name

Last Name

Phone

I agree to the following:

I am required to have an in-person consultation before the service can be scheduled.

As a model, this service is 50% off. I am responsible for the financial requirement for this discounted service, due at time of scheduling.

I am responsible for the cost of any required maintenance for my extensions after the initial installation.

I give consent for Salon Mercury to take before & after photos/videos of this service to be used on social media, website, advertisements, etc. .

I will follow the instructions on how to properly take care of and maintain my extensions as told by my stylist.

Please list the last time your hair was colored or had any chamical texture service performed.

Anything else you'd like to tell us goes here!

Upload Current Photos of Hair (Front & Back)

Upload here!