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Chicago Haircuts and Shaves Barbershop
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Intake form
Help us serve you better
Name
*
Email address
*
What type of service are you interested in?
Please select at least one option.
Haircut
Hot lather shave
Beard trim
Eyebrow arch
Mohawk
Fade
Skin fade
Gentleman's cut
Women's cut
Kids' cut
What is your preferred appointment date?
What is your preferred appointment time?
Do you have a preferred barber?
Select
Barber 1
Barber 2
Barber 3
Barber 4
No preference
What is your hair type?
Please select at least one option.
Straight
Wavy
Curly
Coily
Do you have any allergies or skin sensitivities?
How did you hear about us?
Select
Google
Social Media
Friend/Family
Walk-In
Additional questions or comments
Submit
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