Hair Salon Client Intake Form

New Color Client Intake Form
***If you are not a new color client and are requesting a haircut please text our business line at 563-538-1551***

****do not pay the $80 deposit!****
Name

First NameLast Name
pronouns
ex: he/him/she/her/they/them ect
Client's Email Address
example@example.com
Phone Number
Select a hair service

Adult Hair CutCut & ShampooHair colorHair styling (Formal)Hair styling (Special Occasion)Make Up
Upload an image of your color/haircut reference

You can upload multiple files here
Cancelof
Upload an image of your current hair

You can upload multiple files here
Cancelof
How long is your hair?

ShortMediumLongOther
What is the current condition of your hair?

Hair lossDamage due to heatSplit endsBreakageItchy scalpHair is dryDandruffOther
What is the condition of your scalp?

DryNormalOilyOther
How often do you wash and condition your hair

Every dayEvery other dayTwice a weekOnce a week
Have you use the following in your hair before?

Permanent hair colorKeratin TreatmentRelaxerHennabox color
I understand that at this time Bridget is no longer accepting stand-alone hair cuts, and is focusing on color appointments. Hair cuts are for existing clients, or for those who are also interested in color. *

Yes
I understand that a no show or late cancellation (48 hours) will result in a fee equivalent to the time allotted by my stylist for my appointment.*

Yes
I understand that a deposit of $80 is required in order to book all color/color removal projects (this includes balayage, basic color, specialty color, and color correction). This deposit must be paid at the time of booking to secure your spot and will go toward your total when it's appointment day!*

Yes
By signing below, I agree to the terms and conditions of the salon company.

*******Note: please send a text to 563-538-1551 after compleating this form to get your appointment booked!*******

We are looking forward to seeing you!
Date Signed

MonthDayYear
Date
Client's Signature

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Color depositHair color deposit.

$80.00 Quantity
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New Color Client Intake Form

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