Hair Color Concepts®, Inc BLONDE Model Color Request Form & Waiver

Hair Color Concepts®, Inc BLONDE Model Color Request Form & Waiver
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This opportunity is only for women I have NOT serviced before OR have not seen within the last year. Completion of this form does not guarantee you will be chosen.

Each hair color service includes a trim or haircut, a deep steam, and a K18 restorative treatment. A full color + cut transformation typically starts at $650+ depending on how in depth the service is. Please note that as a "model", you will receive up to 50% off this service and your fee of $350 is due in FULL in order to confirm the booking.

If chosen, you will be contacted via text and email with your link to make your payment. Once received, your appointment will be made and your confirmation will be emailed to you. If any additional questions are needed to be asked, we will set up a virtual consultation to ensure we are both on the same page about your goals.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Chose the date you are requesting to receive your service.*

Thursday, August 15th- 9:00amMonday, August 19th- 9:00amMonday, August 26th- 9:00am
Have you ever had your hair colored before? This includes semi-permanent color (direct dye) and demi-permanent color (rinses). Please note that should you have any black, brown, or red color ( or rinse) on your hair, cool/ platinum or high (extremely light) level blondes will not be performed on your hair.*

YesNo
If yes, please detail your hair color history for the last 5 years.*
Have you had any of the following within the past 5 years? Please check all that apply and understand relaxed hair and henna processed hair, will NOT be considered. Please be honest with your answers.*

RelaxerKeratin Smoothing TreatmentBrazilian BlowoutCurly PermHennaNone Of The Above
How would you describe your hair density (the amount of hair on your head)?*

Dense/ ThickMedium/ AverageFine/ Thin
How would you describe your hair length?*

Short (TWA/ Pixie)Medium (Above Shoulder/ Bob Length)Long (Below/ Past Shoulders)
Do you have gray hair that needs to be covered during your service?*

YesNo
What tone does your desired BLONDE fall into? This can be a root to end blonde tone or a dimensional blonde tone.*

Platinum (white/silver) BlondeCool BlondeNeutral BlondeWarm BlondeGolden Blonde
What type of trim or haircut will you need after your service? ALL blonding services are required to receive a trim/ haircut.*

Trim/ Cleanup (up to an inch)Haircut (2-4 inches)Major Change Haircut ( 5 or more inches)
Please upload a recent, UNFILTERED, photo of your hair color as it is right now. I will need to see a front and back angle in natural light. *

Cancelof
Please upload an inspiration photo that showcases your hair goal.*

Cancelof
If there any other details about your hair that I should know (ie: previous experiences that were undesirable, hair is resistant to color, hair lightens quickly, etc), please list them below.*
Photo/ Video Release

As a hair color model, I agree to being filmed for social media and/ or educational purposes to be placed inside of Hair Color Concepts® Academy.

I give Adrienne Small and Hair Color Concepts, Inc the absolute right and permission to take, publish, reproduce, exhibit, project, display and/ or copyright photographic images, video or pictures of my hair ( my face does not have to be included if I verbally inform Adrienne Small for it to not be) whether still, single, multiple, or moving, in color or otherwise, through any form of media (print, digital, electronic, broadcast or otherwise), for advertising, marketing, publicity, educational, archival, or any lawful purpose.

I waive any right that I may to inspect and approve the finished product that may be used or to which it may be applied now and/ or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising to the use of the image or product.

I release and agree to hold harmless Adrienne Small and Hair Color Concepts, Inc of and from any liability by virtue of taking pictures or using testimonial data inany processing towards the copletion of the finished product and any use whatsoever of such pictures or videos whether intentional or otherwise.
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Release of Liability

By undergoing chemical services of any kind, including the use of (but not limited to) hair color, permanent, semi permanent, demi permanent or lighteners (bleach), I understand that there is a risk of reduced curl elasticity and my natural curls may stretch/loosen during this process.

As my stylist, Adrienne Small agrees to take every precaution possible to maintain the integrity of my hair. However, it is important that I am made aware of this possibility and upon leaving the salon, I am accountable for maintaining it's integrity by following the steps, guidelines, and product usage presented to me during my appointment.

Should I NOT follow the given steps and guidelines and my hair is affected in a negative way, I release Adrienne Small and Hair Color Concepts, Inc of all liability, claims and demands; that this release contains the entire agreement between me as the client and Adrienne Small as the stylist; and that the terms of this release are contractual and not merely a recital.
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