• Image field 57
  • Format: (000) 000-0000.
  • Is your hair highlighted?
  • Is your hair permed?
  • Is your hair relaxed?
  • Are there any other chemical treatments on your hair not listed above?
  • Are you on any medications that may cause hair loss?
  • Have you had surgery in the last six months?
  • Are you allergic to any metals, silicone or latex?
  • Have you had extensions before?
  • PRE-APPOINTMENT ACKNOWLEDGEMENT

  • Hair is at least to your shoulders
  • Shortest layer is past the cheekbones (minimum)
  • Current hair photos and inspiration photos were sent to Interlude the Salon in advance
  • A phone consultation was made prior to the scheduled appointment date between the guest and stylist where the process of the hair extensions service was explained and all questions were addressed
  • Client initials

  • *Please note, hair care is vital to ensure optimal results. This can also be found onour website at InterludetheSalon.com

  • APPOINTMENT ACKNOWLEDGEMENT

  • on
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  • Date:
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  • WAIVER AND INDEMNIFICATION

  • per my Interlude the Salon phone / in-salon CONSULTATION and HAIR CARE PLAN understand and wish to proceed with the hair extensions service.
  • Date:
     / /
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  • Should be Empty: