Hair Color Consent for a Minor Hair Color Consent Form for a Minor Salon Lamont Client Information Minor's Name * Date of Birth * Age * Parent/Guardian Name * Phone Number * Email * Emergency Contact (name & phone) Service Requested Hair color service requested I understand that the hair color service may include lightening, permanent, demi-permanent, semi-permanent, gloss, toner, or fashion color products as discussed with the stylist. Health & Hair History Please check all that apply: No known allergies to hair color products. History of allergic reactions to hair color or cosmetic products. Sensitive scalp or skin conditions. Previous chemical services within the last 6 months. Other (please explain): Acknowledgment of Risks I understand that: Hair color results may vary depending on the minor's natural hair color, previous treatments, and hair condition. Hair coloring products may cause allergic reactions, scalp irritation, or hair damage despite appropriate professional care. Multiple appointments may be necessary to achieve the desired result safely. Proper aftercare is important to maintain color and hair health. Vivid or bleach services may require multiple sessions. No specific color result can be guaranteed. I have read and understand the acknowledgment of risks above. * Patch Test A patch test was offered and completed when appropriate. I declined the patch test after discussing the potential risks. Parent/Guardian Consent I am the parent or legal guardian of the above-named minor. I authorize the stylist to perform the agreed-upon hair color service. I have had the opportunity to ask questions, understand the potential risks and expected maintenance, and consent to the service. I understand that I may stop the service at any time before or during the appointment. Parent/Guardian Signature * Sign above using your mouse or fingerClear Printed Name * Date * Stylist Stylist Name Date Stylist Signature OptionalClear Stylist Notes / Formulas Used Sign & Submit Consent
