Mark Evans Salon New Client Consent Form Question Title * 1. Name of Client Question Title * 2. Email Address: By submitting this form, I understand that I am accepting the terms listed. Question Title * 3. I consent to this activity/procedure. I acknowledge that the hairstylist and employees of the salon are licensed professionals and should be treated with respect at all times. I confirm that the salon and hairstylists will be not be responsible or liable if the result of service is not the expected as it should be. I confirm that I will follow the regimen and the suggested follow ups of the salon and the hairstylist in maintaining my hair. I am allowing the salon and the hairstylist to apply necessary chemicals as part of the service in my hair treatment. I understand that the result of this chemical may vary from one person to another. I was offered a patch test. I confirm that the hairstylist explained to me what is the plan of treatment, the benefits, and the pros and cons. I agree that the hairstyle is final after the service. If there are any changes after 7 days of the service ending, the client will be charged. I consent for the salon to take photographs of the provided service. I consent for the salon to share the service photograph to social media for marketing purposes. I confirm that kids are not allowed in the work service area for safety reasons. I have read this whole document and I accept the terms indicated above. Question Title * 4. Enter date Date Date Question Title * 5. Check if client is a minor & will be receiving chemical treatments I am under the age of 18 Question Title * 6. Parental Consent Question Title * 7. Parents Email address Question Title * 8. Parents Phone Number Question Title * 9. Minor's Date of Birth & Age Question Title * 10. Parental/Guardian Consent and Acknowledgment I am the parent or legal guardian of the minor listed above and give consent for my child to receive salon services that may include hair color, lightening, toning, smoothing, perming, or other chemical treatments. I understand that these services involve the use of professional products that may cause allergic reactions or irritation in rare cases. I have disclosed any known allergies, sensitivities, or medical conditions that could affect my child’s service. I understand that results and reactions can vary depending on hair history and condition, and I release the salon and its staff from any liability related to these services. Question Title * 11. Parent Signature: Done