client intake form hairstylist

Professional Salon Service Intake and Liability Waiver

Instructions for Use

• Complete all sections of this form prior to the commencement of any chemical or technical hair service.
• Ensure the client initials each numbered clause to signify understanding of salon policies and potential service risks.
• Retain the signed original in the client’s permanent file for a minimum of three years following their final visit.

Parties and Definitions

This agreement is entered into by and between [Salon Name] ("Salon") and [Client Full Legal Name] ("Client"), residing at [Client Address], on this [Day] day of [Month], [Year].

Operative Terms

1. Medical and Allergy Disclosure: Client confirms they have disclosed all known allergies, medical conditions, and current medications that may interact with salon products. Client acknowledges that [Salon Name] is not responsible for adverse reactions resulting from undisclosed sensitivities.

   • No known allergies or medical concerns.
   • Disclosed conditions: [__________]

2. Chemical Service Acknowledgment: Client understands that chemical services (including but not limited to color, bleach, relaxers, and perms) involve potential risks to hair integrity. Client acknowledges that previous chemical history, including use of box dyes or henna, must be disclosed.

   • I have disclosed all prior chemical treatments.
   • I have not had any chemical treatments in the last 12 months.

3. Service Satisfaction Policy: If the Client is dissatisfied with the result of a service, they must notify the Salon within [Number] days of the original appointment. The Salon will evaluate the request for a corrective service on a case-by-case basis. No refunds will be issued for services rendered.

4. Cancellation and No-Show Policy: Appointments canceled with less than [Number] hours' notice are subject to a cancellation fee of [Amount]. No-shows will be charged [Percentage]% of the scheduled service total.

5. Assumption of Risk and Liability Waiver: Client hereby releases [Salon Name], its owners, and its employees from any and all liability for damages, loss, or injury resulting from services provided, except in cases of gross negligence. Client assumes full responsibility for the condition of their hair post-service.

6. Photo/Media Release:

   • I grant permission for [Salon Name] to use photographs of my hair for marketing and social media purposes.
   • I do not grant permission for the use of my photographs.

Signature and Acknowledgment

By signing below, I certify that I have read, understood, and agree to the terms outlined above.

Signature: __________ Printed Name: [Client Full Legal Name] Title: Client Date: [Date]

Legal Disclaimer: This document is a general framework intended for informational purposes only. It does not constitute legal advice. Salon owners should consult with qualified local counsel to ensure compliance with state-specific cosmetology board regulations and consumer protection laws.