Please note hair chemicals including hair color, perms, relaxers, keratin treatments, and other chemicals, have certain side effects such as redness, scabbing, bruising, scaring, welling, tenderness, and hyperpigmentation. 

I have read the above information and if I had any concerns I have addressed them with my technician. I give permission to perform the hair services procedure we have discussed and will hold them harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies or prescription drugs or products i am currently ingesting or topically using. I understand my technician will take every precaution to minimize or eliminate negative reactions. I am willing to follow the recommendations for a home care regimen that can minimize or eliminate possible negative reactions. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult my technician immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand the above information and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold them responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.

I hereby give my permission for the technician and location to use images taken during my services for their printed portfolios and online portfolios, social media pages, websites and all marketing purposes.I give permission  to submit the images to magazines, online and social media for the purpose of growing and advertising their brand.