Fillable Printable Color Consent Form - Keith Kristofer Salon and Spa

Color Consent Form - Keith Kristofer Salon and Spa

KEITH KRISTOFER SALON AND SPA

COLOR CONSENT FORM

Client Name: Stylist:

TODAY'S PRICING - One Kerastase Treatments treatment is included in the price of your color service. The cost of

any additional treatments will be discussed before your service begins.

Color Price $_______________

Additional Treatments ________________________________________ $_______________

Haircut Price $_______________

Total Price $_______________

PAST REACTION TO COLOR: List any past reactions to hair color products -

PATCH TEST: A small percentage of individuals can experience adverse reactions due to the application of hair color

products. While rare, symptoms can include burning, redness, itching and/or swelling even if you have had your

hair colored in the past with no reaction. Your colorist can administer a “patch test” to determine if you will

experience a reaction to hair coloring. This test must be administered 48 hours prior to your appointment for

coloring services. You have the right to request a patch test prior to every service at no additional charge to you.

Please indicate whether you would like the patch test performed.

I would ____ would not _____ like to have a patch test performed.

CORRECTIVE COLOR: Is this service considered a “Corrective” color? NO ____ YES ____

Corrective Color means:

1.) More time and expertise is required than with a “standard” color service.

2.) Reconstructive treatments may be needed prior to color services

3.) Multiple visits may be required to achieve your desired color.

4.) Each subsequent visit will be a separate color service; a separate charge will be quoted for each visit.

INFORMED CONSENT FOR COLOR: Signing below indicates that you have read and understand this form, that you

have been offered a patch test, and that you direct Keith Kristofer Salon to proceed with your hair coloring service.

Signing below indicates your consent and agreement to indemnify, defend and hold harmless Keith Kristofer Salon,

it’s owners, employees, agents and assigns from any liability claim or action arising from the application of hair

coloring products.

Client Signature Date