client intake form hair salon

Professional Salon Client Registration and Service Agreement

Instructions for Use

• Print this document and provide it to new clients to complete prior to their first service appointment.
• Ensure all medical and allergy-related fields are reviewed by the service provider before commencing any chemical or heat-based treatments.
• Retain the signed original in the client’s physical or digital file for a minimum of three years or as required by local record-keeping regulations.

Parties and Definitions

This agreement is entered into by and between [Salon Name], located at [Salon Address] (“Salon”), and the undersigned individual (“Client”).

Client Information Full Legal Name: [] Date of Birth: [] Phone Number: [] Email Address: [] Emergency Contact Name & Phone: [__________]

Operative Clauses

1. Service Consent: The Client hereby requests and consents to the hair services provided by the Salon. The Client acknowledges that results may vary based on hair texture, health, and previous chemical treatments.

2. Medical Disclosure: The Client confirms they have disclosed all relevant medical conditions, including but not limited to:

• Allergies (e.g., latex, nickel, hair dyes, fragrances)
• Skin conditions (e.g., eczema, psoriasis, sensitive scalp)
• Recent surgeries or medical treatments
• Pregnancy or nursing status Please list specific concerns here: [__________]

3. Chemical Treatment Policy: If the Client has received chemical services (relaxers, perms, color, or keratin treatments) within the last [__________] months, they must disclose this to the stylist. The Salon is not liable for damage resulting from undisclosed prior chemical history.

4. Cancellation and No-Show Policy: The Salon requires at least [] hours' notice for cancellations. Failure to provide notice may result in a fee of [] or a requirement to pre-pay for future appointments.

5. Personal Property: The Salon is not responsible for any personal items lost, stolen, or damaged on the premises. Clients are encouraged to keep valuables in their possession at all times.

6. Photographic Consent: The Salon may request to take "before and after" photos for marketing purposes.

• I consent to the use of my photos for social media/marketing.
• I do not consent to the use of my photos.

7. Right to Refuse Service: The Salon reserves the right to refuse service to any person who exhibits behavior that is disruptive, threatening, or violates the health and safety policies of the establishment.

Signature and Acknowledgment

By signing below, I acknowledge that I have read, understood, and agreed to the terms outlined above. I certify that the 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 intended for informational purposes only. It does not constitute legal advice. Laws regarding liability waivers and medical disclosures vary by jurisdiction; please consult with qualified legal counsel to ensure compliance with your specific state or local regulations.