Hair Color / Chemical Service Consent

# Hair Color / Chemical Service Consent --- ## Client Information **Full Legal Name:** ___________ **Date of Birth:** ___________ **Phone Number:** ___________ **Email Address:** ___________ **City, State, ZIP:** ___________ --- ## Service Details **Service(s) Requested (select all that apply):** ___________ **Current hair color (natural or artificial):** ___________ **Desired result or target color:** ___________ **Natural hair color (before any coloring):** ___________ **Have you colored or chemically treated your hair in the past 6 months?** ___________ If yes, describe the service, approximate date, and products used (include box color if applicable): ___________ **Stylist:** ___________ **Appointment Date:** ___________ ---