✨ Booking Request Form

Please fill out the form below to request an appointment. We will contact you by email to confirm your booking.

First Name
Last Name
Email Address
Preferred appointment date (Option 1)
Select your desired date.
Select Your Preferred Time (Option 1)
Please tap the Japanese text below to select your preferred time.
Preferred appointment date (Option 2)
Select your desired date.
Select Your Preferred Time (Option 2)
Please tap the Japanese text below to select your preferred time.
Preferred appointment date (Option 3)
Select your desired date.
Select Your Preferred Time (Option 3)
Please tap the Japanese text below to select your preferred time.
Would you like support in English via a translation app?
Message for our Salon
※Please note: This is a request form. Appointment is not confirmed until you receive our reply.