HAIR SERVICE CONSENT & CLIENT AGREEMENT
Please read carefully before signing.
Client's Name
*
First Name
Last Name
Client's Phone Number
*
Format: (000) 000-0000.
Client's Email Address
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select a hair service
*
Haircut & Style
Hair color (One Color)
Hair Conditioning/ Mask
Gray Blending
Hair styling (Event)
Balayage
Retexturizing
Highlights
Perms
Other
How often do you go to salon for hair maintenance?
*
Every week
Every 2 weeks
Every 3-4 weeks
Every 2 months
Every 2-6 months
Twice a year
Once a year
Other
How long is your hair?
*
Please Select
Short
Medium
Long
Kindly describe the status of your scalp.
*
Please Select
Dry
Normal
Oily
How often do you apply shampoo and conditioner in your hair (Shower)?
*
Every day
Every other day
Twice a week
Once a week
Other
What’s your hair concern?
*
Hair loss
Damage due to heat
Split ends
Breakage
Itchy scalp
Hair is dry
Dandruff
Other
Have you use the following in your hair before?
*
Permanent hair color
Keratin Treatment
Razor cut/Thinning
Relaxer
Henna
Other
When did you last visit a hair salon?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
When did you last apply professional or unprofessional color in your hair AND Hair history for the past 2 years?
*
Are you currently taking any medications? If yes, please list them below. If not, leave it blank.
Please indicate the list of hair products you're currently using:
How did you hear about us?
*
Facebook
Tiktok
Instagram
YouTube
Online Advertisement
Google Search
Referred by a friend
Newspaper/Magazine
Other
Any special instructions, comments, or suggestions / what would you like and don't like on your hair ?
*
Upload an image of your current hair
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of hair you prefer
*
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
Upload an image of the hair after appointment
Browse Files
Drag and drop files here
Choose a file
You can upload multiple files here
Cancel
of
HAIR SERVICE CONSENT & POLICIES
Please read and acknowledge the following terms before receiving your hair service.
Age Requirement
*
Hair History
*
Results & Expectations
*
7-Day Correction Policy
*
Communication
*
Hair Health & Safety
*
Aftercare & Maintenance
*
Photo & Video
*
MODEL SERVICE AGREEMENT & EXPECTATIONS
By agreeing to participate as a model, you understand and acknowledge the following.
Creative Direction & Transformation
*
Multiple Appointments & Maintenance
*
Appointment Time & Stylist Accommodation
*
Understanding & Commitment
*
Hair Health, Time Limit & Additional Appointments
*
CLIENT ACKNOWLEDGMENT
By signing below, I confirm that:
Client Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Print Form
Submit
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