Barber Service Consultation & Liability "*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Client InformationFull Name*Phone Number*Appointment Date* MM slash DD slash YYYY Service Requested Haircut Kids Haircut Beard Trim Line-Up/Edge-Up Razor Shave Hair Design/Enhancement Other OtherHealth & Skin QuestionnaireDo you have any allergies or sensitivities to hair products, aftershaves, oils, dyes, or other grooming products? No Yes Please listDo you currently have any of the following? Scalp Irritation Cuts or Open Wounds Psoriasis Eczema Dandruff Skin Infection Recent Surgery None Other OtheHave you experienced irritation from barber services in the past? No Yes Please explainService Acknowledgment I understand that barbering services may involve the use of clippers, trimmers, razors, grooming products, and other tools that may cause minor irritation, redness, or sensitivity. I have disclosed all known allergies, skin conditions, and concerns that may affect my service. I understand that results may vary based on my hair type, hair condition, and the style requested. I acknowledge that I have discussed my desired haircut and grooming service with my barber before the service begins.Liability Release I release K&M Dew Glam Lounge, its barbers, employees, and representatives from liability for allergic reactions, skin sensitivities, minor nicks, irritation, or other issues that may arise from services performed, except in cases of gross negligence.Photo & Marketing Consent I authorize K&M Dew Glam Lounge to photograph or record my completed service for marketing, social media, and promotional purposes. I do not authorize photographs or videos of my service. SignatureClient SignatureBarber SignatureDate MM slash DD slash YYYY Date MM slash DD slash YYYY For Clients Under 18 Years OldParent/Guardian NameParent/Guardian SignatureDate MM slash DD slash YYYY
