client consent
form

texture services

First name

Last name

Chosen Treatment

Perm

Keratin

Stylist Notes (Perm technique, type of keratin, brand etc):

I consent to have my photo taken for documentation purposes.

I consent to my photo being used on social media.

Before Photo 1

Upload

Upload supported file (Max 15MB)

Before Photo 2

Upload

Upload supported file (Max 15MB)

Inspo Pic 1

Upload

Upload supported file (Max 15MB)

Inspo Pic 2

Upload

Upload supported file (Max 15MB)

Price Quoted

* Price is subject to change based on amount of product used.

Patch Test

Any known allergies or sensitivities?

I have been offered a patch test at least 48 hours before my service.

I understand that reactions, though rare, may include but are not limited to redness, itching, swelling, blistering, or hair damage.

I am choosing to decline the patch test and understand that by waiving this option, I accept full responsibility for any allergic reactions or sensitivities that may occur.

Product Recommendations:

I understand my at home maintenance regimen and understand that if I don't follow my stylists recommendations for products and haircare, my service will not be guaranteed by Willow and Jade.

I have reviewed Willow and Jade's refund/service guarantee policy and agree to the terms.

Client Signature

Thanks for submitting!

client consent form

texture services

Patch Test

client consent
form