Hair Extension Waiver Form

Covid-19 Screening

To ensure the safety of all parties and to stop the further spread of the Covid-19 virus, please complete the below questions as honestly and accurately as possible prior to your appointment date.

1. Have you, or anyone in your household, had Covid-19 in the last 14 days? *

Please give details: *

2. Are you, or anyone in your household, awaiting test results for Covid-19? *

Please give details: *

3. Have you, or anyone in your household, had any of the following symptoms in the last 14 days: Continuous cough, Fever, High temperature, Loss of sense of taste, Loss of sense of smell? *

Please give details: *

4. Have you, or anyone in your household, been in contact with anyone with confirmed Covid-19 in the last 14 days? *

Please give details: *

5. Have you, or anyone in your household, travelled outside the US in the past 14 days? *

Please give details: *

6. Have you received a Covid-19 vaccine? *

Which vaccine did you receive? *

Have you received one or two doses? *

When did you receive the first dose? *

When did you receive the second dose? *

Appointment Guidance

If you have answered yes to any of the above questions we will be in contact as you may need to reschedule your appointment with us.
Please only attend at your appointment time.
Please ensure you are on time - if you are late this may result in your appointment being cancelled.
Please attend your appointment unaccompanied.
Please limit the personal possessions you bring with you.
Please wear a face mask/covering to your appointment.
Upon arrival please wait until you are called forward to reception.
Upon arrival please use the hand sanitiser provided.
Please maintain social distancing where possible.
If you experience Covid-19 symptoms after your appointment please contact us immediately.

Please tick each statement to show your understanding and agreement. *

I’m willing to get my body temperature checked before beginning my salon/clinic services. If my temperature is above 37 degrees celsius I agree to not visit the salon/clinic for the next 14 days I agree not to visit the salon/clinic for any of the services provided if I have the symptoms of Covid-19. I acknowledge that the information I have given in this consent form is accurate and complete. By signing below I confirm that I understand and agree to all terms and statements in this form.

Client Signature: *

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Client Details

Full Name: *

Date of Birth: *

Contact Number: *

Email: *

Waiver

Please read the following information carefully:

I acknowledge that the service is final after the application. Any changes to the style after application will be charged accordingly and additionally.

I acknowledge that hair extensions are very sensitive and different from intact human hair. I have been informed of the daily maintenance procedure. I will follow the daily maintenance procedure to keep my extensions in the best condition possible. I am fully aware and responsible that if I brush my hair hard or if the extensions are pulled that it can be ripped from the roots.

I acknowledge that I have inspected and approved the hair extensions that are to be installed in my hair. In the event that I decide not to keep the hair extensions, I am fully responsible for the total payment of services rendered. I also understand the explanations of the entire procedure, and I am aware that with proper care on my part, they should remain in my hair for at least 6 weeks. I understand that if an allergic reaction occurs, I will not hold my technician or salon at fault. The charge for the removal of hair extensions is not included in the original fee.

I have read this waiver form in its entirety, and I voluntarily accept the terms of the release by affixing my signature below, and warrant that I fully understand its contents.

By my electronic signature below I acknowledge that I have read and fully understand this agreement and all the information detailed above. *

Tap or click on the signature above to sign