Name *

First Name

Last Name

Phone *

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What has been applied to your hair in the last 3 to 4 years? *

I have never colored my hair (100% natural)

In salon highlights or balayage

In salon all over color (darker or grey coverage)

Home color or highlighting (non-professional)

Henna, fashion colors, or overtone

Perm or smoothing treatment

Other (please add additional details in message area below)

I understand that professional services require proper home care. Failure to use quality products and the use of excessive heat impacts the quality of my color and the health of my hair. I am committed to maintaining my cut and color as recommended by my stylist.

I agree

I understand that some services or results may not be possible in one session if at all, dependent on previous color or the condition of my hair *

I agree

I understand the potential risk involved in applying chemicals to my scalp and hair. I have disclosed any allergy or previous reactions with my stylist. *

I agree

I have read and agree to Elyse Bartlett Hair and Makeup cancellation policy. *

I agree