Client Informed Consent Form
AmirahME.com | CurlSafe Blonding System #1
Blonding & Lightening Services
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Client Name: ___________________________ |
Date of Service: ___________________________ |
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Phone: ___________________________ |
Stylist: ___________________________ |
Please read each statement carefully and initial each box.
Hair Structure
I understand that lightening and bleaching services involve chemical processes that permanently alter the hair structure. Results vary based on hair history, texture, porosity, and current condition.
[ Initial ] ___________
Full Disclosure
I have fully disclosed my complete hair history to my stylist, including all previous chemical services (relaxers, texturizers, keratin treatments, box color, bleach) and any at-home products currently used on my hair. I understand that undisclosed history may affect results and safety.
[ Initial ] ___________
Multiple Sessions
I understand that ethnic and highly textured hair may require multiple lightening sessions spaced a minimum of 3 days apart in order to achieve the desired result safely without compromising scalp health or hair integrity.
[ Initial ] ___________
Expected Changes
I have been informed that some degree of dryness, increased porosity, or texture change is normal and expected following a lightening service. These changes do not constitute a defective service and are part of the natural response to chemical lifting.
[ Initial ] ___________
Platinum Goals
I understand that achieving platinum, white blonde, or very light cool tones on dark or textured hair is an advanced multi-session process. Results cannot be guaranteed in a single appointment and attempting to rush this process risks severe breakage.
[ Initial ] ___________
Color History — Roots to Ends
I acknowledge that my stylist will inspect my hair from roots to ends for color variations and prior color deposits before beginning any service. I understand this check is required for my safety and the accuracy of the service.
[ Initial ] ___________
Aftercare
I agree to follow all aftercare instructions provided by my stylist, including use of recommended products, avoidance of heat styling and chemical services during the recovery period, and returning for scheduled follow-up appointments as advised.
[ Initial ] ___________
Liability
I release the stylist and AmirahME.com from liability for any results that differ from the desired outcome due to undisclosed prior chemical services, pre-existing hair or scalp damage, or failure to follow aftercare instructions.
[ Initial ] ___________
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Client Signature: ___________________________ |
Date: ___________________________ |
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Stylist Signature: ___________________________ |
Date: ___________________________ |
By signing above, the client confirms they have read, understood, and agreed to all statements on this form.
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