Magdalena Hair Salon

Magdalena Hair Salon

New Client Intake Form
Thank you for you interest in Magdalena Hair Salon!

When the form is submitted and the pictures are received thru text (current and inspiration photos), you will be contacted to schedule :)

Thank You!

Magdalena
Client's Name*

First NameLast Name
What Services are you interested in?*
Please Submit Project Photos

Text now to (530) 798-6422

* Current Photos

* Inspiration Photos

Thank you
How were you Referred? *
Gender:*
Pronoun: (She, He, They, Other)*
Date of Birth*

MonthDayYear
Date
Cell Phone Number*
Home Number
Email Address*
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (In case of personal belongings left behind or client requiring additional assistance) *

First NameLast Name
Emergency Contact Phone Number*
In case of personal belongings left behind or client needing additional assistance.
Hair Texture*

Straight HairWavy HairCurly HairCoily HairOther
Hair Width*

Fine HairAverage HairCoarse Hair
Hair Density*

Thinning HairThin HairMedium Density HairThick hair
Hair Health*

Healthy :DDecent :)Dry :lDamaged :/Destroyed :0
What Shampoo or Styling products are you currently using?
How Frequently do you wash your hair?
Are you taking any medications that is related to cosmetic or skin improvement?
If requesting Color services - any history of Henna use in your hair?

Yes (If yes - reaction to haircolor can be volatile, lets discuss)No
Terms & Conditions
I understand that my data will be strictly confidential.
Magdalena Hair Salon does not sell, share, or resell information.

I confirm that all information in this form is true and accurate.

I release Magdalena Hair Salon and hold harmless against any claims, expenses, damages, and liabilities.

I agree to Arrive On Time -
Appointments begin on time. Appointments will be held for up to 15 minutes, after which they are cancelled and considered a No-Show.

24 Hour Cancellation / Rescheduling Policy -
I agree to cancel or reschedule any appointment with a 24 hour+ notice. One notice will be given for late cancellations.

No Show/Late Cancellation Policy -
No-Shows will receive an invoice equal to the missed appointments service amount, to be paid in full prior to rescheduling. Once paid, we start again fresh.

Minors Policy -
Minors are not to be left unaccomanied unless written consent is received and service is paid in full prior to arrival.
Children 14 years and under are not permitted to accompany parent unless receiving a service.

Sickness -
I agree to stay home if feeling unwell, giving as much notice as is possible, to not expose others to illness.

Haircuts & Color Services -
I agree to arrive with Clean, Dry hair to receive the ultimate results and for reasons of scalp health and salon safety.
Client Signature*

Clear
Date Signed*

MonthDayYear
Date
Thank you for supporting small business💕

- Magdalena
Should be Empty:

Magdalena Hair Salon

Please Submit Project Photos

Text now to (530) 798-6422

* Current Photos

* Inspiration Photos

Thank you

Terms & Conditions