Haircut Permission & Information Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form to grant permission and provide essential information for your child to receive haircut services from Aligned Studios. Services are held at Mason Academy, 19995 Fenelon St., Detroit, MI 48234.

Parent/Guardian Full Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Child's Full Name *

Date of Service *

November 25, 2025

December 16, 2025

Child's Current Grade Level

Please describe any known allergies (e.g., to products, metals)

Does your child have any medical conditions or special needs we should be aware of?

Are there any specific safety concerns or behavioral notes the barber should know?

What kind of haircut style is preferred? *

Taper Hair length gradually shortens, but the hair is never cut down to the skin. It is more subtle and conservative. Clean and classic. Grows out more smoothly.

Line Up Lining up the perimeter of the hair, without removing any length.

Even All Around Even level haircut around the entire head.

I hereby give permission for my child to receive haircut services from Aligned Studios. I understand and agree to the terms regarding hair preparation, health checks, and child behavior during the service. I release Aligned Studios, Mason Academy, and Barcos Foundation from any liability arising from the haircut service. *

I agree and consent.

Required

I AGREE TO SHAMPOO MY CHILD'S HAIR THE DAY BEFORE SERVICE. *

I AGREE

I grant permission for Aligned Studios, Barcos Foundation and World Kindness Movement to take and use photographs or videos of my child during the haircut service for promotional purposes (e.g., social media, website). *

Yes, I grant permission.

No, I do not grant permission.

Presented by:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Barcos Foundation.

Does this form look suspicious? Report

Forms