Mod Head Creative

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Your Name* This field is required.
First
Last
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Cell Number:* This field is required.for text confirmations & immediate appointment updates
ex. 555-555-5555
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Email* This field is required.This is how we’ll contact each other!
We will never SPAM or sell email addresses to third parties.
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Pronouns(I’m Kendall, they/any)
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I'm glad you're here! How did you find The Altar?* This field is required.If referred- who referred you?
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Which of our services are you interested in?* This field is required.Select all that apply.
Salon: Holistic Haircuts + Color
HeadSpa: Intuitive Scalp Facials
Spa: Intuitive Facial + Brows
All of the above.
HeadClub: Mutual Aid Haircut Program
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Please list any known allergies:chemical, environmental, or food related
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Would you benefit from any of these accomodations?Can choose multiple! I believe silent appointments are cool & sensory needs can be met. I also love to chat all things vintage, sustainability, music, and my favorite local spots. Select as many preferences as you'd like! (This can always change)
I need elevator access!
I'd like a silent appointment!
I'd like the overhead lights out (when possible)
Let's get to know each other!
I'd like to stay dry (no shampoo) *available for haircuts only
No massage please!
I have other needs I'd like to share!
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Please share any accommodations you may need for your appointmentI will communicate how these accommodations can be met via email!
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Do any of the following apply to you in the last 6 weeks?* This field is required.Check all that apply or add your own
NONE
Sunburn
Psoriasis
Laser/IPL
Eczema
Red/Irritated/Inflamed Skin
Injectables (Botox/Fillers)
Chemical Peel
Retinoids/Tretinoin
Microneedling
High Density/Thickness
Waxing
Hormonal Medications
Accutane (past 12 months)
Steroids
Other/None
Antibiotics
Blood Thinners
Other
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Are you experiencing any:Check all that apply or add your own
Dry/Itchy Scalp
Allergy to Hair Color
Dandruff
Psoriasis
Oily Scalp
Eczema
Red/Irritated/Inflamed Scalp
Thinning Hair
Brittle/Breaking Ends
Hair Loss
Chemical/Heat Damage
High Density/Thickness
Extra Long Hair Length
Gray Hair
Fine Texture
Coarse Texture
Other/None
Open Wound/Infection
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If applicable: when was the last time your hair was cut/chemically treated, and how?professionally or non-professionally. This includes: box color, Sun-In, henna, brightening shampoos, color conditioners, smoothing treatments, perms, etc. Think back at least 3 years. (i.e. highlights, 6 weeks ago)
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What you would like experience from our time together?* This field is required.(tell me anything! Hair goals, a time to work, relax, etc- anything that comes to mind!)
Huge
Large
Normal
Small
Ok
Ok
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How often would you like to get your hair done? think realistically here!
please select…
please select…
as low maintenance as possible! (2-4x a year)
some maintenance/ability to change looks (4-6x a year)
as much as needed for looks (6+ times a year)
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What brand and type of products are you currently using?Shampoo, Conditioner, Styling Products, Etc.
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Would you like to know about the products I love?I'll walk you through what to use and how!
YESNO
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Current Hair PhotoHave your hair down and clean/styled. Natural Lighting is best.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Do you have an Inspiration Photo?What is your overall goal? The best inspiration is similar in texture and length to your current hair.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Informed Consent & Release from Liability
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The terms of services include, but are not limited to the following:

~I understand my goals may require more time than available in a single appointment, and any adjustments must be requested within 7 days of my services. All adjustments are subject to additional costs, and any additional services after 7 days will be preformed at full cost.

~Allergic reactions to hair color, products, or other materials used can occur. Kendall Whitley, LLC is not liabe for any allergic reactions. Notify your service provider immediately if irritation occurs.

~I understand that internal and environmental factors such as: mineral build-up, medications, anesthsia, hormonal fluctuations, UV exposure, swimming, certain products, well water and other external and internal factors could lead to unexpected results.

~I accept the responsibility for explaining to my service provider my desire for goals, needs, and expectations for any services that will be done.

~I will not be under the influence of any drugs or alcohol during my treatment.

~I understand results are not guaranteed and all services are non-refundable.

~I have been duly informed of the risks, possible complications and consequences as listed above.

I hereby release Kendall Whitley, LLC and affiliates from any liability arising from risks that are known and/or unknown affiliated with services rendered. And therefore, I agree to allow Kendall Whitley, LLC to perform services on me.
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Cancellations must be made within 48 hours of your scheduled appointment time. If you are beyond 15 minutes late arriving your appointment is forfeited. Cancellations and forfeit appointments will result in a 20% deposit fee collected via the card on file.* This field is required.Exceptions Apply*
I understand the cancellation and late policy.
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I agree to the policies, terms, and conditions hereof and release Kendall Whitley, LLC of all liability related to obtaining or receiving services.Please Sign
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I grant permission to Kendall Whitley, LLC to use my photos and all forms of media for marketing, promotional literature, educational and social media purposes.
I grant full permission. (I promise you look great)
I wish to remain private.
I grant permission for non-identifying (face) content
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What to know when resrving an appointment:

Here's some details, but we will follow up to make sure you know exactly how much time to reserve, and personally approve each appointment request.
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How to Arrive: It's ideal to arrive to your appointment with your hair worn how you typically style it. A smooth collar line (no hoodies, or high collars) is best. Clean(ish) hair (free of build-up like dry shampoo or root coverage spray), untied (no bun or ponytail), dry hair is best- if that's not possible just know that extra time may be required to prep hair for services.

Time: We will meet you at your exact appointment time. Please allow enough time in your day for the service you've reserved. 3-4 hours are alotted for new guests, vivids, or transformational color + care appointments.

Pricing: We utilize transparent, gender-free, all-service inclusive session pricing. We believe in an even energy exchange, no hidden fees for add-on treatments or gratuity. Our artist’s are educated to preform services on all hair patterns and skin types and session rates will be adjusted to offer equitable exchanges based on hair density and/or length.

How to Reserve: All appoinments are self-reserved online. Once you've submitted this form you will be redirected to our booking link, where you can request your corresponding service.

How to Communicate: Appointment reminders and confirmations will be sent via text and email. To speak to us personally please email: at: thealtaratsacred@gmail.com
We will have a thorough in-person consultation prior to services. Eligibility for services is dependent on in-person consultation.
Connect with me:

website https://msha.ke/thealtar

social https://www.instagram.com/thealtaratsacred/
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