Client consent Form for Ktips extension service

Customer Details:

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail

example@example.com

Have you ever worn hair extensions before?

YesNo

If so, what type?

Are you currently wearing extensions?

YesNo

If so, what kind?

Have you had chemical treatments such as relaxes, keratin treatment or color in the last 12 to 24 months? if so, list the services below and dates.

How often do you shampoo your hair?

Every 2 to 3 daysOnce a weekEvery two weeksOnce a month

Do you ever use a clarifying shampoo? if so, how often?

Do you have any scalp conditions if so, list below

Do you have any breakage or missing hair?

Are you taking any medication’s or any illnesses that affect your hair and scalp? please list.

What is your reason for the Ktips service?

VolumeLengthBoth

Type a question what is your desired length?

18 to 20 inches shoulder length20 to 24 mid back26 to 32 waste length

What hair type

Are you interested in coloring your hair or your extensions?

How often do you heat style your hair?

Are you comfortable with the maintenance that’s involved with Ktips

YesNo

If no express your concerns

What is your lifestyle?

ExtremelyActiveActiveModerate laid-back

How often do you work out?

Couple of times a week3 to 4 times a weekDaily

How often do you swim?

NeverIn the summerOnly on vacation

Are you able to come in for maintenance appointmentsevery 4 to 6 weeks?

Do you have any allergies to keratin or adhesive or hair products?

Do you agree to follow aftercare instructions to maintain the health of your natural hair andextensions?

Type a question do you have any

Upload your inspiration picture

Upload upload a picture of your hair from the front

Upload picture of your hair from the back

1. Service Overview

I understand that K-Tip hair extensions involve the use of keratin-tipped bonds to attach individual strands of hair extensions to my natural hair. This service is a semi-permanent solution that requires proper maintenance and care.
Initial: _________

2. Hair Extension Maintenance

I understand that proper maintenance is essential to the longevity of my K-Tip hair extensions. This includes:
Using sulfate-free shampoo and conditioner.
Avoiding oils, conditioners, or products near the bonds.
Brushing hair gently with a proper extension brush.
Scheduling regular maintenance appointments every 6-8 weeks.
Initial: _________

3. Potential Risks

I acknowledge that, as with any hair service, there are potential risks, including:
Damage to natural hair if extensions are not cared for properly.
Shedding of extensions over time.
Irritation or allergic reaction to the keratin bond or other products.
Improper removal may result in damage to my natural hair.
Initial: _________

4. Longevity of Extensions

I understand that K-Tip extensions typically last 3-5 months depending on proper care, hair growth, and lifestyle factors. Extensions may need to be removed and reapplied as natural hair grows.
Initial: _________

5. No Guarantees

I understand that the stylist cannot guarantee specific results, as they depend on the condition of my natural hair, how well I follow aftercare instructions, and external factors such as weather or product use.
Initial: _________

6. Non-Refundable Policy

I understand that the cost of hair extensions and the service is non-refundable. I agree to the quoted price prior to the service and accept that no refunds will be issued once the service is completed.
Initial: _________

7. Aftercare Responsibility

I agree to follow the aftercare instructions provided by my stylist. I understand that failure to do so may result in damage to the extensions or my natural hair, for which the stylist is not responsible.
Initial: _________

8. Photo/Video Release (Optional)

I give permission for my stylist/salon to take photos or videos of my hair for promotional purposes (social media, website, etc.).
Yes: _________No: _________
Acknowledgment and Agreement
By signing below, I confirm that I have read and understood the information provided above. I agree to proceed with the K-Tip hair extension service and release the stylist and salon from any liability resulting from the service.

Client Signature: _________________________________
Date: ___________________________

Stylist Signature: _________________________________
Date: ___________________________
Let me know if you like to customize it further!

Signature

How did you hear about us?*

Please Specify*

Please give reference of any two people whom you feel:

	Full Name	Address	Contact Number
1
2

Will you be willing to recommend us?

YesNoMaybe