Client Color Intake Form

Please fill out the form and agree to the following:

I have used non-professional color on my hair in the past year:
I use salon quality hair products at home:
I understand swimming in chlorine, salt water, or hot springs may discolor or dull my color:
I understand using hot tools above 325° and without heat protectants may dull my color and cause damage to my hair:
I understand results of my color service may take multiple services:
I understand my color service will require maintenance every ______ weeks:
I understand if I do not use the recommended products/over use hot tools/and(or) use products incorrectly it may alter my color and/or cause unwanted tones and potentiallly cause breakage resulting in needing extra services in the future:
I understand Renee Deonna Cosmetology has given me enough information about my color service and has helped me understand the expectations of the service to be provided:
  1. Please note hair coloring does have certain side effects such as but not limited to: redness, scabbing, scarring, swelling, tenderness, hyper pigmentation.

  2. I have read the above information and if I had any concerns I have addressed them with my stylist. I give permission to perform the hair color service we have discussed and will hold them harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies, prescription drugs or products I am currently ingesting or topically using. I understand my stylist will take every precaution to minimize or eliminate negative reactions. I am willing to follow the recommendations for the at home care regimen that can minimize or eliminate possible negative reactions.

  3. In the event that I any have additional questions or concerns regarding my services or suggested home product/post-service care, I will consult my stylist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures.

  4. I certify that I have read and fully understand the above information and that I have had sufficient opportunity for discussion to have any questions answered.

  5. I understand the services about to be provides and their risks.

  6. I do not hold Renée Deonna Cosmetology or any other involved entities liable or responsible for any conditions that were present, but not disclosed at the time of this service, which may be affected by the treatment performed today.

Thanks for submitting!