Salon Chemical Release Form

Date

MonthDayYear
Date
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
I hereby release Amber Rose Styles (the "Salon"), its stylists, colorists, and employees, from any responsibility and/or liability concerning the application, processing, and/or consequences of the permanent chemical procedure of my hair.
I hereby give my consent for the following services
I understand and give my consent to the following:
By signing this form, I assume all risk of injury and harm resulting from the treatment activity specified herein and I agree to release, defend, indemnify, and forever discharge the Salon from all liabilities, claims, damages, costs, and expenses, or any action due to loss, damage, injury, or death that might incur resulting from the chemical treatment.
Date Signed

MonthDayYear
Date
Signature of Client
Should be Empty: