NEW GUEST Appointment Request Form
Please Confirm Our Service Policy Agreement
Client's Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
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Area Code
Phone Number
How were you referred?
*
Do You Have A Preference In Which Stylist You See?
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Sarah
Maddison
Kristen
Neomi
Addy
No Preference
First Available
What services are you looking to book?
*
New Extension Install
Extension Move-up
Extension Consultation
Color Retouch
Custom Foil/Balayage
Partial Foil/Balayage
Full Foil/Balayage
All Over Color
Gloss
Haircut
Shampoo, Blowout & Style
Keratin or Smoothing Treatment
Color Correction
Color Consultation
Other
*OPTIONAL* TELL US ABOUT YOUR HAIR
For the most successful session, please be as detailed as possible.
Please Describe What Services You Are Looking For.
For hair coloring services, please CHECK ALL that apply in the last 3 years. (5 years if you have long hair)
A professional colored my hair with permanent hair color
I colored my hair with permanent hair color
Henna has been applied to my hair
I have applied store bought, box color ( including but not limited to Sally's color)
I have grey hair and want to cover it 100%
I have grey hair and want to blend it with a semi-permanent hair color
I have grey hair and want to blend it by applying highlights and/or lowlights
I am currently and have taken medications in the last 3-5 years that may effect my hair
Not applicable, I am not looking for a color service
Please type NA if you are not requesting some of these services.
When was the last color service?
When was the last haircut service?
When was your last Keratin Treatment?
When was your last install or reinstall for hair extensions?
How would you describe your hair?
Fine
Medium
Course
Thin
Thick
Straight
Wavy
Curly
Dry
Damaged
Oily
Upload a Photo of Your hair currently
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of
Additional photo if needed
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of
Upload a Photo of Inspiration
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of
Additional photo if needed
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of
Preferred Date For Appointment
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Month
-
Day
Year
Date
Alternated Date For Appointment
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Month
-
Day
Year
Date
What Days/Times are You Available?
By signing this waiver form, I acknowledge and confirm the following:
*
I confirm that I have 3 days following my completed hair service to inform Poised Beauty Salon of any concerns or changes I would like to my hair extension install, cut, smoothing or color service.
I confirm that I have read and will follow the regimen and the suggested follow-ups of the salon/stylist in maintaining and caring for my hair.
I am allowing the salon to apply necessary products as part of the service in my hair treatment.
I consent Poised Salon to take photographs of the provided service.
I consent Poised Salon in terms of sharing the photograph to social media for marketing campaigns or testimonials.
I confirm that children and pets are not allowed in the salon area for safety reasons.
I confirm I will not listen to any devices on speaker phone out of the respect of other clients and stylists enjoying their experience at Poised Salon.
I understand for safety and liability reasons, I am not permitted to blow-dry or style my own hair in Poised Salon. I may choose to schedule a stylist for styling or complete the service without a blowout/style. I understand no services are guaranteed if I choose to forgo the finishing portion of the service.
I understand and confirm new installs require Poised Extensions and for sanitation reasons, opened hair is non-refundable.
I confirm that I will be on time for my appointment or my card on file will be automatically charged a $20 late fee.
I agree that I will cancel my appoint 48 hours in advance or I will be charged 50% of my scheduled service cost.
I agree that if I do not allow 48 hrs to cancel or reschedule my appointment, I must pay the cancellation or no-show fee AND an additional 50% deposit for my rescheduled services before rebooking.
For all appointments, I understand my active credit card will be held on file and will be charged the appropriate fee.
I have read this whole document and I accept the terms indicated above.
Client's Signature
*
Date Signed
*
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Month
-
Day
Year
Date
Submit
Submit
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