New Client Intake & Salon Waiver Form
Name
*
First Name
Last Name
Email
example@example.com
Address
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthday
*
-
Month
-
Day
Year
Date
Referred by
Emergency contact
Include name and phone number.
Allergies
Hair History & Concerns
*
Please include at least five years of hair history and estimated date of last hair color/cut session.
What is your hair length?
*
Short
Medium
Long
What is your hair thickness?
*
Fine
Medium
Coarse
How would you rate the condition of your hair?
*
Very Poor
Poor
Normal
Somewhat Good
Good
How often are you willing to come back to the salon for maintenance appointments?
*
Initial Appointment Budget and/or Maintenance Appointments Budget?
Preferred scheduling availability?
Reason for changing your last salon/hairdresser? What didn't you like?
*
Any other information you would like us to know?
Please include a photo of your current hair and a inspiration photo of your desired end result.
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By signing this waiver form, I acknowledge and confirm the following:
*
I confirm that the salon/stylist will not be responsible or liable if the result of the service is not as expected as it should be.
I confirm that I will follow the regimen and the suggested follow-ups of the salon/stylist in maintaining and treating my hair.
I am allowing the salon/stylist to apply necessary chemicals as part of the service in my hair treatment.
I understand that the result of this chemical may vary from one person to another.
I confirm that the salon/stylist has explained to me the plan of treatment and I understand the pros, cons, and options available to me.
I confirm that prices were discussed and agreed to prior to my service.
I agree that the hairstyle is final after the service. If there are any changes after 24 hours when the service ends, the client will be charged for any additional changes needed.
I consent the salon/stylist to take photos and videos of the provided service.
I consent the salon/stylist in terms of sharing the photograph and video to social media for marketing campaigns or testimonials.
I acknowledge that the salon employees are licensed professionals and should be treated with respect all the time.
I have read this whole document and I accept the terms indicated above.
Client's Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Date of Service
-
Month
-
Day
Year
Date
Submit
Submit
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