Coiffed Bridal Form - Dinah Lefranc

Client Information

Bride Name *

Phone *

Email *

Address

Date of Consultation *

Wedding Date *

Ceremony Time

Reception Time

Venue(s) / Address(es)

Trial Appointment

Trial booked

Yes No

Trial date

Trial time

Preferred trial location

Salon On-location

On-location address (if applicable)

Trial goals / notes

Photos & Inspiration

Upload before photos (front/back/close-up)

Done N/A

Upload inspiration images (hair styles / veils / accessories)

Done N/A

I permit Dinah Lefranc to view these photos for planning *

Wedding Hair Details & Preferences

Ceremony look desired

Updo Half-up/half-down Down & styled Braided style Natural/soft waves

Other ceremony look

Reception look desired (if different)

Same More relaxed More formal

Other reception look

Hair texture preference

Smooth/polished Textured/boho Romantic/soft Glam/structured

Veil / headpiece / accessories planned

Veil Tiara Comb Floral crown Pins

Other accessories

Accessories details

Desired level of trial styling detail

Full hairstyle + veil placement Firm hold test Hairpiece integration Photos for reference

Bridal Party Services

Do you require styling for bridesmaids/family?

Yes No

Number of additional people to style

0 1 2 3 4 5 6+

If 6+, specify exact number

Services needed (check all that apply)

Bridal hairstyle Bridesmaid hairstyle Flower girl hairstyle Blowout/heat style Updo Extensions application Trial for attendants

Other services

Will attendants require on-location service?

Yes No

Travel details / address for on-location service

Are attendants bringing their own hairpieces/extensions?

Yes No

Preferred start time for attendants

Special pricing or package requested?

Yes No

Details/approval for special pricing or package

Hair History & Current Condition

Natural hair color / current color

Recent chemical services (type / date)

Extensions or wigs to be used

Yes No

Details about extensions or wigs

Current length

Short Collarbone Shoulder Mid-back Long

Condition (check all that apply)

Healthy Dry Damaged Thinning Chemically processed

Daily Routine & Timeline on Wedding Day

Typical styling time needed for bride (minutes)

Preferred start time on wedding day

AM/PM

What time does bride need to be done?

Total number of people to style (bride + attendants)

List names & start times

On-location travel required?

Yes No

Pricing Information

Hourly Rate: $155 (excluding commuting costs)

The commute fee will be assessed after the contract is reviewed and the location is confirmed.

Deposit: A 50% deposit is required to secure your booking.

Remaining Balance: Should be settled one hour prior to Dinah Lefranc's departure for packing.

Payment Methods: Cash envelope or Zelle to 917.334.6475

Thank you for choosing us -- it's a privilege to be your hair artist on your special day!

Terms & Signature

Bride's Name *

Signature (type full name) *

Date *