Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Haircuts

Botox

Fillers

Eyebrow Tattooing

Reductive Massages

Facial Cleanings

Preferred appointment date

Preferred appointment time

How did you hear about us?

Do you have any allergies or skin sensitivities we should be aware of?

Please provide any additional comments or requests.

Which service or services are you interested in?

Please select at least one option.

Botox treatments

Facial cleanings

Health and performance

Facial Tatooing

Hair styling

Lashes

Certifications

Additional questions or comments

Velvet Spa & Salon by Noris Eliana Serrato