Service Release Form

Service Release Form
Name

First NameLast Name
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Service requested
- I understand that chemical services involve risks including but not limited to damage, dryness, breakage, or unexpected results.

- I have disclosed all prior hair history including box dye, previous color, chemical treatments, and any damage to my stylist.

- I agree to take the proper steps and precautions to maintain and achieve healthy hair.

- I understand that the final result may vary and is not guaranteed.

- I understand that achieving my desired result may require multiple appointments and cannot always be achieved in one session.

- I understand that my stylist may alter or stop the service at any time if the integrity of my hair is compromised.

- I understand that lightening services can cause varying levels of damage and that my stylist will prioritize the health of my hair over achieving my desired level in one session.

- I agree to notify my stylist within 48 hours if I am unsatisfied. Adjustments may be made at the stylist’s discretion.
By signing below, I confirm that all information provided is accurate and that I understand and accept all risks associated with the service.
Today’s Date

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2 digit month, 2 digit day, 4 digit yearDate
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