• New Client Form

  • Format: (000) 000-0000.
  • How did you hear about RootsR4Trees?
    If referred, who referred you?

  • Allergies (latex, nylon, chemical’s, etc.)? 
    If Waxing, any medications?


  • I release RootsR4Trees LLC from any responsibility and/or liability concerning the application, processing and/or consequences of the permanent chemical procedure of my hair. I consent the right for RootsR4Trees LLC to use media including but not limited to photograph, audiovisual tape, and other reproduction in promotion, advertising and the trade. 

    *See Client Service Agreement for more detail*


  • Should be Empty: