Client Registration Form

Dear New Client,

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


Please click here, from a desktop or laptop computer, to print & fill out your client intake form.  If you prefer to fill out your form in person simply arrive 15 minutes early, to your first appointment, to allow time :-)


The following step is required in advance.  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.  If you fail to show up for your appointment as scheduled, or fail to give at least 24 hour notice to cancel your appointment, your card will be charged 50% of the service scheduled.   

When making an appointment you are agreeing to this policy.   You will be sent an email confirming your appointment.  All transactions are secured by SSL Secure Connection.






365 S. Mountain Ave

Upland Ca 91786

Inside Optima Salon Suites

Suite #26​



e-mail anytime at

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