The Delta Extension Application

Thank you for taking the time to fill out this hair extension application!

Please be as detailed as possible. This allows me to have a better understanding of your hair and your hair goals going into our consultation appointment!
Extension Information
At The Delta Salon, we offer a bead + sew-in combination method. A track is created by attaching a silicon-lined bead to your hair then stitching hand-tied hair extensions to that track with thread. Absolutely NO ADHESIVES are used therefor zero damage to your hair!

We use Covet & Mane hand-tied hair extensions as well as ONE by IBE.

We offer 10", 14", 18", 22", 24", & 26" in length as well as curly or wavy hair options

The hair can last anywhere from 6-12 months with proper care.

Retightening of the extensions is required every 6-8 weeks. Retightening costs are $200 per one row.
Financial Expectations
Most first time clients can expect to invest anywhere between:

*$1,000- $1,500 for adding volume & thickness (minimal to no length added)
*$1,500 -$2,200 for adding length & volume/thickness (most popular)
*$1,800 -$2,600 for adding
EXTRA LENGTH & volume thickness (think celebrity style hair)

**prices are subject to change or vary

This pricing includes:

•Premium Hair by Covet & Mane (100% Human Hair Extensions) that are ethically sourced from all over the world •customized, seamless extension color if needed •extension application •cutting to blend •styling of final look •and two week follow up if necessary!

**Any coloring done to the clients hair is separate and an additional cost to prices stated above.
Customer Information
Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about The Delta Salon?
Have you worn extensions before?

YesNo
If yes, what type/methods have you tried?
If yes, what was your overall experience with them? Likes, dislikes, etc.
What is the main goal you are trying to achieve with hair extensions?
Length, volume, both, color, etc.
Are you wanting extensions for a special occasion? If yes, what are we celebrating?
Hair Condition
Which best describes your hair?

StraightWavyCurlyI’m not sure
Which best describes your hair texture?

FineMediumCoarseI’m not sure
Which of the following describes the AMOUNT of hair you have?

Very littleMediumThickVery thick
Is your hair at least shoulder length?

YesNo
What is the current condition of your scalp?

NormalDryOilyScarsOther

Pre-procedure questions

	Yes	No	Remarks
Are you currently experiencing hair loss?
Are you currently in treatment for hair loss?
Are you currently taking medication for hair loss?
Do you have any skin-related disease?
Do you have any allergies?
Are you sensitive to metals?
Do you regularly swim?
Have you been pregnant in the last 6 months?
Are you under a lot of stress?

Hair Color
Do you currently color your hair?

YesNo
Are you looking to keep your current hair color the same with minor adjustments or are you looking to totally transform your hair color?

Keep the same with minor adjustmentsTotal transformation
Which best describes the condition of your hair?

Healthy overallHealthy but slightly dry in the endsSomewhat compromised, damage from previous hair situationDry, brittle, broken, damaged
Time Commitment
What time of day works best for you?
What day of the week works best for you?
I request that every extension guest come in for a face to face consultation. Would you be willing to come to the salon for a 15-30 minute complementary consultation? **| understand if you are from out of town but will request a FaceTime consultation instead.

YesNo
All extension methods require in salon maintenance to keep your hair and extensions healthy and looking their best. For most people that is anywhere from 6-10 weeks. Are you be willing to commit to the maintenance required to have your dream hair?

YesNo
Hair Photos

**THIS STEP CANNOT BE SKIPPED** Follow the instructions below to upload your current hair photos.
1. Must be a photo of YOUR CURRENT hair.
2. Use your cell phone.
3. Have someone else take the photos for you (please no selfies!)

4. Take indoors in natural lighting (no flashes or direct sunlight)

5. Submit TWO photos (front & back)

6. Please sent at least 2 inspo pictures (images of what you are trying to achieve.
CURRENT hair FRONT photo:

Cancelof
CURRENT hair BACK photo:

Cancelof
Inspiration picture:

Cancelof
Inspiration picture:

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First Time Client Expectations
*I require a $500 - $700 retainer in order to book an installation appointment. ***this deposit is included in the total cost. It is not an additional fee.

Scheduling a consultation could take up to 2 weeks depending on availability.
I custom order ALL hair per guest which could take anywhere from 1-2 weeks to arrive.
Application appointment is typically 2-4 weeks from consultation appointment depending on availability and if other hair services are necessary.
*Overall, the process can take from 2-6 weeks to complete.
Having full knowledge of the financial commitments, timeline, and guidelines to obtain and maintain your ensions - are you prepared to make the investment necessary to experience the most comfortable and natural looking hair extensions on the market!?

YES!! I cannot wait to experience the hair of my dreams!!No, unfortunately I am unable to make the commitment to have the hair of my dreams at this time.
Acknowledgment
- I confirm that all information I entered in this form is accurate and true.
- I understand that I need to follow pre-procedure and post-procedure care.
- I understand that for cancelation or rescheduling, I need to call the salon directly and talk to the staff to get voice confirmation.
- I confirm that the salon does not provide a refund for deposit payments.
- I release the salon for any liabilities or hold harmless for any damages, injury, or accidents that can happen during or after the procedure.
- I understand that removal must be performed by a hair salon technician or extensionist.
By signing below, you agreed that you have read and understood the terms and agreement above.
Signature

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

Thank you for taking the time to fill out this hair extension application!

Extension Information

Financial Expectations

Customer Information

Hair Condition

Hair Color

Time Commitment

Hair Photos

First Time Client Expectations

Acknowledgment