1 Step 1 Client Information 2 Step 2 Hair History 3 Step 3 Service Consent Client Information Name * Date Of Birth * Address * Phone * Email * Emergency Contact Name * Emergency Contact Phone * Car Registration Number * Next Hair History Have you had any recent hair treatments or procedures? * Yes No If yes, please specify: Do you have any allergies to haircare products or ingredients? * Yes No If yes, please specify: Have you ever experienced any adverse reactions to hair treatments or products? * Yes No If yes, please specify: Are you currently taking any medications that may affect your hair or scalp? * Yes No If yes, please specify: Do you have any existing scalp conditions or concerns? * Yes No If yes, please specify: Previous Next I hereby consent to the following hair service(s) to be performed at Nacre hair and beauty salon: Haircut Hair Coloring (specify type: permanent, semi-permanent, highlights, etc.) Hair Spa Keratin treatment Other (please specify): I understand that there may be risks associated with the service(s) listed above, including but not limited to hair damage, scalp irritation, and allergic reactions. I acknowledge that it is my responsibility to inform the hairstylist of any changes to my hair or scalp condition prior to the service(s). I have read and understand the information provided above, and I give my consent to proceed with the selected hair service(s). Previous Submit Thank you for your time {Name(s) and Surname as in the passport.|text_9_29}Form Submitted Successfully!We will contact you as soon as possible. Powered By
