client intake form for salon

Professional Salon Services Client Intake and Consent Agreement

Instructions for Use

• Complete all sections of this form accurately prior to receiving any services at [Salon Name].
• Ensure that any medical conditions or allergies are disclosed in full to assist the service provider in maintaining your safety.
• Sign and date the acknowledgment block at the bottom of the document to confirm your consent to the terms and conditions outlined herein.

Parties and Definitions

This agreement is made between [Salon Name] (the "Salon") and the undersigned client: Client Name: [] Date of Birth: [] Phone Number: [] Email Address: [] Emergency Contact Name & Phone: [__________]

Operative Clauses

1. Service Consent: The Client hereby authorizes the Salon and its staff to perform the requested beauty, hair, or aesthetic services. The Client acknowledges that results may vary based on individual hair/skin type and previous chemical treatments.

2. Health and Safety Disclosure: The Client represents that they have disclosed all relevant medical conditions, including but not limited to: allergies to dyes, fragrances, or latex; skin sensitivities; pregnancy; or recent surgical procedures. The Client agrees to inform the Salon of any changes to this information prior to subsequent appointments.

3. Liability Waiver: The Client agrees to indemnify and hold harmless the Salon, its owners, and its employees from any claims, demands, or causes of action arising out of or related to any loss, damage, or injury that may occur during or as a result of the services provided, except in cases of gross negligence or willful misconduct.

4. Cancellation and No-Show Policy: The Client acknowledges the Salon’s policy regarding cancellations. Cancellations must be made at least [] hours in advance. Failure to provide timely notice may result in a fee of [______] charged to the Client’s account.

5. Payment Terms: Payment for all services is due immediately upon completion. The Salon accepts the following payment methods: [ ] Cash [ ] Credit Card [ ] Debit Card [ ] Other: [__________].

6. Personal Property: The Salon is not responsible for any personal property, including clothing or jewelry, that is lost, stolen, or damaged on the premises.

7. Governing Law: This agreement shall be governed by the laws of the state or province of [__________].

Acknowledgment and Signature

I, the undersigned, certify that I have read and understood the terms of this agreement and that all information provided is accurate to the best of my knowledge.

Signature: __________ Printed Name: [] Title (if signing for a minor): [] Date: [__________]

Legal Disclaimer: This document is a general framework and does not constitute formal legal advice. Salon owners should consult with qualified local counsel to ensure compliance with specific state or provincial consumer protection and liability laws.