IMPORTANT: If you have difficulty completing this form on a mobile device, please use a desktop/laptop.

Based on your answers to the following questions, I will reach out as soon as a slot comes open at your available times (it could be six months or longer depending on your availability and the current client schedule).

Important Notes:
1) Only clients with full vaccination against Covid-19 will be moved onto the schedule. If you are unvaccinated, you will remain on the waitlist until this policy changes.

2) If you work in direct contact with Covid-19 patients, or your work puts you in regular indoor contact with unmasked, unvaccinated people, no upper lip work or other work that would require unmasking will be performed.

3) Appointments are generally scheduled on a bi-weekly basis on the same day and time. These need to be days/times where you will be consistently available. Knowing your availability is crucial to getting you on the schedule. Please note that evening and weekend appointments are not available.

4) Unless we are working on a body part that requires you to take off your mask, masking will continue to be required for all clients for the entirety of your appointment.

5) The Root is a safe space for all people across the gender spectrum. Filling in your pronouns below is required. It's okay if you don't fully understand the question! There is an explanation of pronouns here. Please note that the form section below is not an opportunity for comedy or snark in your response. Inappropriate or offensive entries will result in the rejection of your waitlist submission.

6) By submitting this form, you consent to receive cell phone text messages from The Root (when receiving messages, reply STOP to cancel, reply HELP for help. Message frequency varies. Message and Data rates may apply.)