Please fill out the information below and Clementine’s will contact you with more details.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Date of Wedding

YYYY

Current Clementine's Client?

If Yes, Which Stylist?

If not, how did you hear about us?

Hair Services

Bride

Additional Ladies

Bridesmaids, moms, etc.

Flower Girls

10 years old and under

Makeup Services

Bride

Additional Ladies

Bridesmaids, moms, etc.

Flower Girls

10 years old and under

Getting Ready Location

Venue name, hotel name, private residence, etc.

Street Address

City, State, Zip Code

Desired start time

Please account for access time at your getting ready location

Hour

Minute

Second

Approximate time to be ready

This is your hair and/or makeup finish time. Allow for additional time for getting dressed and photos ahead of ceremony time.

Hour

Minute

Second

Anything else you would like us to know?

Schedule Appointment

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