new client request form

Please fill out this form as thoroughly as possible to be considered as a new client. My schedule is very limited and I am still taking very thorough covid precautions, so I may not be able to complete booking with everyone who reaches out at this time. I appreciate your interest in booking with me, and I’ll be in touch as soon as possible or as appointments become available after receiving your forms. Thank you so much! 💖-Amelia Hart