Salon Questionnaire #team921cares

Appointment request and Health waiver.

Please complete the required information below to help make your experience at Studio 921 as smooth and safe as possible! Thank you for your support. custserv@studio921spa.com 410-783-7727
Name *

First Name Last Name
Email *
example@example.com
Best Contact Phone Number *

Area Code Phone Number
Billing Zip Code *
Who is your requested Service Provider? *
Service(s) you are requesting. (haircut, highlights, roots, etc.) Please be specific so we can book enough time. *
At least 2 options for days/times you are available? And if you flexible on days/times/stylist? *
If you are getting color, what have you used during the Quarantine? (this is so we can determine timing needed for your appt)

Used box color (important to know for color clients) Normal washing and styling
For the first 30 days of reopening post Covid shutdown, SOME stylists may be offering "Quick Finish" looks in lieu of blow drying services, in order to best service our guests.

Yes, no problem! Really need a blow dry
I agree to wear a mask during my entire visit and understand that color MIGHT get on my mask. *

Yes
I understand that I MUST be on time for my appointment or may forfeit/adjust my appointment for that day. *

I will be there on time
I agree and understand that if I am unable to make my appointment and do not cancel within 24 hours, there is a $65 per hour fee, based on my booking time. *

Yes, I understand.
I understand service prices are “starts at” and will vary based on stylist and hair texture, density, product usage, tools used, style, etc. *

Yes, I understand
I understand I can not have another person, including children, with me at my appointment for health/safety and capacity reasons. *

Yes!
I agree to call / email the salon 410 783-7727 or custserv@studio921spa.com upon my arrival, to notify them I am here for my appointment. *

Yes!
Health questionnaire

In order to protect our staff and guests, please answer the below health questions.
Have you been knowingly exposed to COVID-19? *

Yes No
Have you or anyone in your household experienced symptoms of COVID-19 in the last 2 weeks? *

Yes No
Have you or anyone in your household traveled outside the U.S in the last 15 days? *

Yes No
I agree to wear a mask and social distance per Maryland State and CDC guidelines. *

Yes No
I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure and supersedes that witholding information or providing misinformation may result in pricing contradictions and/or irritation to the hair service being received.
*

Yes, I understand and agree
Signature *

Clear
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Appointment request and Health waiver.

Health questionnaire