I-Tips Hair Extension Form
Form is required to fill out in order to continue service, thanks!
Client's Name
*
First Name
Last Name
Client's Phone Number
*
Good number to reach you
Format: (000) 000-0000.
Select Hair density:
*
Low/Fine
Medium
Thick/Heavy
Select Hair Type:
*
Straight
Curly
Wavy
Is your hair color-treated, bleached, or chemically treated? (Yes/No – If yes, explain)
*
What is your desired hair length (in inches)
*
Please Select
18 inches
22 inches
Have you experienced hair loss, thinning, or scalp issues? (Yes/No – If yes, explain)
*
Have you had hair extensions before?
yes
no
If yes, what type(s) have you had? (Tape-ins, I-Tips, Sew-ins wefts, fusion, ect.)
Clip ins
Wefts
Tape ins
Keratin/Hot fusion
Sew-ins
Are you currently taking any medications? If yes, please list them below. If not, leave it blank.
How did you hear about me?
Facebook
Instagram
Tiktok
Referred by a friend
Waiver & Release of Liability
Client acknowledges understanding and agrees to the terms to ensure safety and protect the business.
I understand that I am receiving a professional hair extension service (specifically I-tip extensions) and results may vary depending on my natural hair type, lifestyle, and aftercare.
I acknowledge that the stylist has explained the process, potential risks, and proper at-home maintenance required.
I understand that neglecting proper care (such as brushing, washing, or maintenance appointments) may cause damage or matting to my natural hair and extensions.
I affirm that I have disclosed all known hair conditions, treatments, and allergies.
I understand that hair extensions may add tension to the scalp and/or cause discomfort if not cared for properly.
I understand that maintenance appointments (typically every 6–8 weeks) are necessary to maintain the quality and safety of my extensions.
I acknowledge that deposits are non-refundable and there are no refunds once the service is performed.
I understand that failure to follow recommended aftercare or maintenance advice may void any opportunity for corrections or adjustments.
I release the stylist/business from any liability for damage to hair, scalp, or extensions due to improper care, allergic reactions, or previously undisclosed hair or medical conditions.
I release the stylist/business from any liability for damage to hair, scalp, or extensions due to improper care, allergic reactions, or previously undisclosed hair or medical conditions.
I consent to before and after photos of my hair being taken and possibly used for promotional purposes.
Client Signature
*
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