Client intake form

Nova Luna salon & spa

First name*

Last name*

Phone*

Email*

Date of birth

Do you have any known allergies (Fruit,nut,chemical etc)?*

Do you have any concerns or Health issues, that can affect your services that we should be aware of? (Meds, pregnancy, Diabetes etc) If yes, you may explain to us at your appointment if you would prefer.*

How did you hear about us? *

Are you a new or existing guest at Nova Luna salon & spa?*

Do you have any comments or concerns?

I understand my service provider may take photos of my services i had done at my appointment. I agree to release any photos taken by Nova Luna salon & spa, and understand they will be used on their website, social media accounts and for advertisements. Please, see below for detail.

I am okay with the following*

Photos/videos that include my face

Photos/videos without my face

Photos of my hands & feet

Photos of my Eyebrows/eyelashes

Photos of my hair

Use of my testimonials publicly

I am okay with participating in videos if asked.

All of the above

I understand that Nova Luna salon and spa, will not tolerate any hate speech or poor behavior.

I understand that i may be asked to leave a credit or debit/visa card on file.

I understand that i will receive reminder text/email 48 hours prior to my appointment and it is sent from a no-reply number.

I have read & understand the Cancellation & Gift certificate policies For Nova Luna salon & Spa, and agree to the Terms & Conditions. (located in the policies section on the Nova Luna website)

Confirm with your full name*

Connect

Novaluna_ss@hotmail.com

905-324-5995

Visit

601 Southworth street unit 4

Welland, on

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