Client Registration Form

Dear New Client,

Welcome!  After making your 1st appointment with BRS, all first time clients are sent to this registration page to register.

The following step is required in advance to hold your appointment on the book .  If this information is not received within 48 hours of your scheduled appointment, or if the card is invalid, the system will remove your appointment from the book, assuming you no longer wish to keep it.   Please fill out & submit the form below.  A credit card is required to book an appointment. Your card will be charged $1 to verify the card validity.  $1.00 will be credited to your account at your first visit. 

When making an appointment you are agreeing to the cancellation policy.  Click Here to read the cancellation policy.    All transactions are secured by SSL Secure Connection.

Please plan on arriving 15 minutes early for your 1st appointment to fill out your intake form. 

Thank you and I look forward to working with you.





365 S. Mountain Ave

Upland Ca 91786

Inside Optima Salon Suites

Suite #26​

Phone Text or Call


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