Women's Hair Consultation Form

Client's Name

First NameLast Name

Client's Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Client's Email Address

example@example.com

Are you 18 years of age or older?

Parent/Guardian name (if inquiring client is under 18 years old.)

First NameLast Name

Parent/Guardian's phone number (if inquiring client is under 18 years old.)

Area CodePhone Number

Parent/Guardian's email address (if inquiring client is under 18 years old)

example@example.com

If you are younger than 18 years old, please provide birth month and birth year below.

What best describes what you're looking to have done to your hair?

How soon would you like to get in for an appointment?

Please list any specific details.

How soon would you like to get scheduled for an appointment?

Would you be interested in adding on any of the below services to your appointment? Checking any of the boxes will not commit you to any of them, but we can discuss when we are on the phone scheduling your appointment that you may be interested in.

What days and times work best for you, to reach your hair goals? Select all that apply. Please use the "Other" box if you have specific date/time requests. Please note, I am closed on Sundays and Mondays and some Saturdays.

Other

Please list any specific details if you have an ideal date/time for your upcoming appointment you would like if one of the above time frames checked aren't specific enough on time frames needed.

Please attach a current picture(s) of your hair in bright, indirect lighting. This helps me have an idea of what your hair currently looks like so we can discuss when I call you for booking your appointment.

Browse Files

You can upload multiple files here

Please attach a few reference pictures of your hair goals. This helps me understand what cut and/or color goals you have.

Browse Files

You can upload multiple files here

How often do you go to salon for hair treatment?

How long is your hair?

Describe the status of your scalp.

How often do you apply shampoo and conditioner in your hair?

What is the current condition of your hair?

Have you used the following in your hair before?

When did you last visit a hair salon?

Date

How long has it been since your last haircolor service? (including at-home color, no judgement) If applicable, briefly explain chemical history within the last 3 years. (eg. perming, coloring, bleaching, chemical straightener, etc.)

Have you had any hair loss problems in the past or do you currently?

Are you needing a Maintenance or Change for cut and/or color?

Are you currently taking any medications? If yes, please list them below. If not, leave it blank.

Please indicate the list of hair products you're currently using:

How did you hear about Curl Up & Dye with Emilee? If a specific person referred you, I would for you to provide their name so that I can thank them. I love and appreciate referrals

If someone specifically referred me to you, I would for you to provide their name so that I can thank them for the referral!

Do you have any plans or goals for your hair journey? (5 year plan)

What do you love about your hair, or have loved in the past?

What do you dislike about your hair, or wish you could change?

Appointment / Cancellation Policies:

ARRIVAL: Please aim to arrive 5 minutes before your scheduled appointment time. For hair appointments, please have no longer than 2-day unwashed hair. If your hair is generally more oily than dry, please shampoo prior to your color/lightening/keratin service to ensure the treatment will be able to penetrate evenly throughout the hair. For lash and/or brow appointments, please arrive with clean/makeup free eyes, lashes and brows. Extra time spent cleaning your lashes will mean less time lashing. If you arrive after your scheduled appointment time, it may not be possible to extend the time available for your booked service; if your service is shortened due to your late arrival, you will still be charged the full cost of the service.

CHANGING YOUR APPOINTMENT: A minimum of 24 hours notice is required to reschedule/cancel a booked appointment without penalty.

SICKNESS OR FAMILY EMERGENCY: If you or another person in your household, has an infectious or contagious illness, please contact us as soon as possible to reschedule your appointment for a later date. For your safety and that of staff and other clients, please do not come to your appointment sick. If it is assumed you are currently sick, your appointment may be cut short or rescheduled for when you are healthy once again. A one-time allowance of last minute cancellation or reschedule will be permitted for sickness or family emergency. After that, the cancellation and no-show policy is in effect.

CANCELLATION + NO-SHOW: As a courtesy, appointment reminders are sent out 72 and 24 hours prior to your appointment either by text, email or both. If an appointment is cancelled or rescheduled within 24 hours of your appointment, you will be charged 50% of your service as a cancellation fee. If you reschedule or no-show your appointment within 4 hours of your scheduled appointment time, you will be charged 100% of your service as a cancellation fee. This is to protect your time that is set aside especially for you, as well as to protect our time which books up quickly. In turn, we promise to keep appointments on time, give you our full and undivided attention and of course, the best hair, lash and brow experience Brentwood, TN & Franklin, TN has to offer!

AFTER-HOURS APPOINTMENTS: Certain circumstances and seasons may leave you in a panic to squeeze in a last-minute lash or hair appointment that is outside of our normal business hours. After-hours appointments may be available on a case-by-case basis for an additional $50 fee. Please contact us directly to schedule an after-hours appointment.

REFUND POLICY: You are paying for the stylist’s time, products and other expenses used to provide you with a service. No refunds will be given for any reason on services or products. If you are unhappy with a service, you may contact us within 24-48 hours of your appointment to discuss your concerns and if a change can be done to address your concerns, it will be done so with a complimentary 20-30 minute express touch-up if it is at the fault of the application or product. Any concerns addressed after 24-48 hours of your last appointment or if you failed to follow the proper aftercare instructions, you will be charged at the full price for the service.

CHILDREN'S POLICY:
I love your little ones! However, the salon is not always a safe place for children. If your child is not receiving a service, I respectfully ask that you make arrangements for child care (12 & under). After all, I want this to be a relaxing service for you too. This is a safety issue. I have hot tools, sharp tools, wax, chemicals and breakable things in my studio and I do not want anyone to get hurt.

Payments of Services:
All payments of services must be paid at time of appointment.
I accept Venmo or Cash.
If you forget your wallet and I have to send you an invoice to pay for your hair services, there will be a $15 service charge for this payment option. All invoices must be paid within a timely manner. Any invoice that is paid after 12 hours of original appointment time will result in a $50 late fee for each day that is not paid. Any services that are not paid by invoice within 24 hours will be considered theft of services and legal action will be taken. Client will be held responsible for all court fees and any other fees that go along with getting paid for the services rendered.

Client Signature

Date Signed

Date