Name *

First Name

Last Name

Phone Number *

(###)

###

####

Best way to reach you? *

Email

Call

Text

New Client? *

Have you seen Órla before?

Yes

No

Please enter the date range in which you are looking to book an appointment. *

From this date:

MM

DD

YYYY

*

To this date:

MM

DD

YYYY

What days of the week are you available? *

Select all that apply

Monday Afternoon

Monday Evening

Tuesday Morning

Tuesday Afternoon

Thursday Morning

Thursday Afternoon

Friday Afternoon

Friday Evening

My Schedule Is Flexible

My Schedule Varies

Would you like to be added to the Cancellation List for the other Dime stylists as well?

Yes

No

*

This form does not guarantee you an appointment, we encourage you to book the next available appointment in our online booking system so that you can secure a time that works for you. We will be in touch if something opens up during your requested date range.

I Understand