Free Salon Chemical Release Form Template
Salon Chemical Release Form
Please fill out this form to authorize the use of chemicals during your salon service.
Personal Information
Name
Address
Phone number
Chemical Treatment
Please specify the chemical treatment(s) you will be receiving
Allergies or Sensitivities
Please list any known allergies or reactions
Acknowledgment and Consent
I authorize the salon staff to use the specified chemicals for the treatment(s) above. I acknowledge that I have been informed of the potential risks and give my consent to proceed with the service.
Name:
Date:
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