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Velvet Luxe Salon Client Consultation Form

Name *

Date

Phone Number *

Email *

PRIOR TO THE START OF MY SERVICE, I CONFIRM THAT: *

I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks. I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks. I have not traveled outside my immediate daily routine for the past two weeks. I do not have a cough, fever, chills, shortness of breath, or loss of taste or smell. If I begin to show symptoms of COVID-19 within the next two weeks, I will contact my stylist. I will follow all posted salon rules to keep myself, my stylist and those around me safe.

If you left any boxes unchecked to any of these questions, please let your stylist know and we will reschedule your appointment.

We are excited to help you find a hairstyle and/or color that suits you uniquely while maintaining the health and integrity of your hair. Please fill out the following form to help us in achieving your best results.

1. Are you happy with your current hairstyle/color?

Yes No

If not, why?

2. What is most important to you when styling your hair? (select all that apply)

Having your desired look, no matter the time to style it Being done styling in 20 min or less Must be able to pull hair up Protecting my hair from damage

3. What are the things you like/dislike most about your hair?

4. Approximately how many weeks ago did you receive your last Color service.

5. Approximately how many weeks ago did you receive your last haircut service.

6. How many inches would you like cut off your hair?

7. Are we taking your hair color…

Lighter Darker Unsure N/A

8. Have you EVER used box color?

Yes No

If Yes, when was the last time you used box color

9. Is there anything you want me to make sure I DON’T do to your hair? (Bad experiences: too short, too light, etc.)

10. Please write down any questions you may have for me about your hair.

RISKS INVOLVED

Client Initial *

WITH ANY CHEMICAL SERVICE, THERE ARE RISKS INVOLVED.

Genetics, medications, hormones and your overall health
All of the above play a role in making up your chemical make-up, including your hair. What may work for one person, may not work well for you due to the differences in how your body is built to react.

Previous chemical services – professional or at home
Whether lightened or darkened by a box or professional, or permed or relaxed, all of these services present their own risk. Even if a color is faded, it is still present in your hair until it is cut off.

Well water, hard water, and copper pipes – heat reactions
Mineral deposits from water and pipes can build up in your hair and cause a reaction with hydrogen peroxide, bleach powder, color removers, and oxidative color. The reactions are UNPREDICTABLE and can happen after multiple times of using the same product. It is unsure how deposits are going to react, and many do not even know they have them built up in their hair. Using the exact same products for years, then one day having a chemical reaction is similar to developing an allergy to something we have been already using our entire lives.

Other Variables
There are unpredictable risks not mentioned above that may occur during your color service.

THERE IS NO GUARANTEE WHEN PERFORMING A CHEMICAL SERVICE.
We would not be doing our job if we did not present these risks to you ahead of time. The more we do your hair, and know the products on your hair (every color line is different), the better predictions we can make as we learn and understand your hair better.

HOME HAIR CARE MAINTENANCE

Client Initial *

Your hair is an investment and we want it to last as long as possible. The importance of home care is often overlooked, but is essential when recreating your style, as well as maintaining and protecting your color. The products that best suit your hair cut/style/color will be shown to you on the day of your appointment. Velvet Luxe Salon, LLC color services are guaranteed only when accompanied with professional shampoos and conditioners.

We would like to offer you 10% off Shampoo and Conditioner with any color service. (cannot be combined with any other offer)

CANCELLATION POLICY

Client Initial *

We understand that special circumstances are unavoidable and a cancellation may be necessary. If you find yourself unable to keep your appointment, we request at least 48 hours notice. All cancellations must be done via confirmation text/email response or by phone call/voicemail at 610-792-7294 to Velvet Luxe Salon, LLC. Cancellations through private email or social media will not be valid as these can go to spam boxes and not be seen. Clients who do not honor their appointments may be charged a cancellation fee as follows:

Failure to cancel before 24hours will result in a NON-REFUNDABLE deposit of 50% of all services to be able to pre-book appointments for future services.

This courtesy enables the availability to schedule another client in, in turn, and maintains a higher availability of services for you as well as others.

Salon Policies

For Safety reasons and courtesy of other guests we ask that you do not bring children who are not receiving services. Children under the age of 14 must be accompanied by an adult at all times while in the salon.

We accept Discover, MasterCard, Visa and American Express.We do not accept Checks

Gratuities can be cash to your stylist or Credit Card through our Tippy Kiosk

Please give 48Hrs notice when cancelling an appointment so we can fill the appointment. Failure to cancel before 24Hrs will result in a nonrefundable deposit of 50% of service to be able to pre-book appointments for future services.

We guarantee our work 100%. If you are unhappy in any way please schedule a complimentary follow-up appointment within one week of original service.

We also guarantee you will love our products. However, should you purchase the wrong product for you we refund you 100% with your original receipt. Should you have lost your receipt that is okay! We can give you 100% of the cost in Velvet Luxe Credit to use towards a New product or any service.

I have read and understand the above statements and all risks and policies involved.

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

Your Signature *

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Appointment Consultation Form

If you left any boxes unchecked to any of these questions, please let your stylist know and we will reschedule your appointment.