Loc'd N Luv'd Client Intake Form

Client's Name

First NameLast Name

Date of Birth

Date

Client's Phone Number

Format: (000) 000-0000.

Client's Email Address

example@example.com

Occupation

Booking Information

Thank you for your interest in starting your lock journey with Loc'd N Luv'd by Linda Michelle. All clients must complete this agreement and client intake form in order to book an appointment. If you need to reschedule your appointment you must give 48 hrs notice or there will be an inconvenience charge. Please read and sign the Cancelation and No Show Policy next. Feel free to contact me with any questions or concerns (904) 896-2116.

There will be a one hundred dollar ($100) deposit required to book a scheduled Loc Establishment. All deposits are non-refundable, but are applied to the total cost of your hair service. If for any reason you need to change your appointment, you may reschedule to another available time as long as you reschedule at least 2 days before the initial scheduled appointment. If you try to reschedule inside the 2 days or cancel the appointment, you will forfeit your deposit.

All services, new establishments and transfer services must have a scheduled consultation. Consultation fees are non-refundable.

Please be advised do not bring kids or guests with you to your appointment without PRIOR APPROVAL. Exceptions are made at the owners discretion. Any damages to the salon, tools, or any item in the salon will be replaced at the clients expense. Please arrange child care prior to your appointment. All children 6-12 years old and receiving services must have 1 adult present.

Our Lock Adornment Sprinkles can be added to any hair service.

Please fill out the info down below and you will be able to schedule your appointment. Thank you for allowing us to service your crown and enjoy the journey!

Best Time To Reach You By Phone

Select service you are requesting.

Please list the desired month or date you would like to start your lock journey?

What hair pattern do you have?

Upload an image of your hair inspiration. (Lock Goals)

You can upload multiple files here

Whats your desired locking size?

Upload an image of your current hair in its natural state.

You can upload multiple files here

How long is your hair?

Other

How often do you go to the hair salon?

What is the current condition of your hair? (Click all that apply)

What is the condition of your scalp?

Other

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

Have you used the following in your hair before?

When did you last apply professional or unprofessional color in your hair? (If never type N/A)

Do you have any medical conditions? If yes please list below. If no type N/A.

Do you have any product or food allergies? If yes, please list below.

Are you taking any medications or vitamins? If yes, please list them below:

Kindly list the hair products that you are using.

How did you hear about us?

Any special instructions, comments, or suggestions?

By signing below, I agree that all answers and statements are true to the best of my knowledge.

Signature

Date Signed

Date