Form
RELEASE FORM FOR ALL SERVICES WITH A TRAINING APPRENTICE
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Please indicate all that applies to your hair history for the last 24 months
*
Semi- Permanent Color
Permanent Color
Lightner/Bleach
Sun-In
Henna
Temporary Color
Fashion Colors
Texturizer/Perms
Chemical Relaxer
Chemical Straightner
Keratin/Smoothing Treatment
Home Hair Color
Other
What service are you wanting done?
*
What medications/supplements prescribed or over the counter are you currently taking? Also include brief description of condition you are taking them for.
*
Your appointment is scheduled with an in-training apprentice. This person is still in training and learning the industry of Cosmetology to become a licensed Cosmetologist. You understand the service will take longer and may require additional assistance from other Designers. We ask for your patience and understanding when receiving services and if necessary, allowing this person to fix any unsatisfactory results. We will do out best to ensure your satisfaction on your initial appointment. Due to the unpredictability of chemicals on previously chemically treated hair, we cannot guarantee perfect results. Some medications will interfere with the process of Color and Perming services. We will do our best to achieve your desired results. If we believe your hair is in such a condition that we do not recommend you receive your scheduled service, we have the right to refuse the execution of the service without prior written consent. We recommend you purchase quality professional products that support and balance the integrity of your hair. Please indicate that all information on this form is correct and up to date. We cannot be held responsible for information withheld or incorrectly given that may result in damage to the hair. It is crucial that you are honest and forthright with any chemical products that have been applied in order for us to ensure proper steps to achieve your desired result. As a salon our policy is, if you are not satisfied with your service- we will do out best to make it right. We stand behind our work 100% and do not offer refunds on any services performed. As your payment for services is for our time, talent and products used. Please sign below, stating all information you have given is correct.
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