Corrective Color Consent Form
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 service
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

Email address *
Name *
Your answer
Past Reaction to Color? *
Your answer
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. 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. *
Required
By typing your name below you acknowledge that you have read and understand this form, that you have been offered a patch test, and that you direct Alanis Salon to proceed with your hair coloring service. Your name below indicates your consent and agreement to indemnify, defend and hold harmless Alanis Salon, its owners, employees, agents and assigns from any liability claim or action arising from the application of hair coloring products. *
Your answer
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