Client Appointment Request, Intake,Waiver, Contract and Contact Form

Client Appointment Request, Intake,Waiver, Contract and Contact Form
Client's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Client's Phone Number
Format: (000) 000-0000.
Client's Email Address
example@example.com
Occupation
Appointment Day Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday?
Appointment Date ?

MonthDayYear
Date
Appointment Time?

Hour Minutes

AM/PM Option
Select a hair service
What hair style do you like?
Upload an image of hair style or hair color you prefer

You can upload multiple files here
Cancelof
Upload an image of your current hair

You can upload multiple files here
Cancelof
How often do you go to salon for hair treatment?

Other
How long is your hair?

Other
What is the current condition of your hair?

Other
What is the condition of your scalp?

Other
How often do you apply shampoo and conditioner in your hair?

Other
Have you use the following in your hair before?
When did you last visit a hair salon?

MonthDayYear
Date
When did you last apply professional or unprofessional color in your hair?
Are you taking any medications? If yes, please list them below:
Kindly list the hair products that you are using
What are the tools you are using to style your hair?
How did you hear about us?

Other
I Give My Consent and Release Katherine of Be All You Beauty and Smart Style Salon
Any special instructions, comments, or suggestions?
Professional Media & Portfolio Release

By signing below, I the client agree to the terms conditions and I understand that any photos and/or videos taken before, during, or after my service by Katherine of Be All You Beauty are for professional portfolio, educational, and marketing purposes.

I acknowledge and agree that all images, videos, and media content captured are the sole property of Katherine (the stylist) and not the property of the salon, SmartStyle, or its parent company.

I grant permission for Katherine to use this media on social media, marketing materials, websites, portfolios, and educational content without compensation to me.

My personal identity will not be disclosed unless I give additional permission.

My personal identity will not be disclosed unless I give additional permission.
Client Service Consent & Acknowledgment

By signing below, I the client agree to the terms conditions and I understand

I, the client, understand that hair services such as coloring, chemical treatments, heat styling, and cutting involve inherent risks, including but not limited to: hair damage, breakage, dryness, color variation, or unexpected results depending on my hair history and condition.

I confirm that I have disclosed all relevant information about my hair history, including prior chemical services, box dye, relaxers, or treatments.

I understand that results may vary and no specific outcome has been guaranteed.

I voluntarily consent to receive services from Katherine of Be All You Beauty.

I acknowledge that I am responsible for following all aftercare instructions provided.

I understand that services are performed within a professional salon environment operated by SmartStyle Salon, and any concerns will be addressed through proper salon management channels.
Client's Signature
Date Signed

MonthDayYear
Date
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Should be Empty:

Client Appointment Request, Intake,Waiver, Contract and Contact Form

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