ENFR

Printable · for barbershops

Barbershop booking and intake form

Print it, hand it to the client on arrival, keep it in the file. The text below is the same one clients sign when they book online through the booking software.

Printable · Filled in by hand, signed on paperv1

Barbershop intake

Three quick questions so your barber knows what to prepare. The consent below applies to colour, bleach and other chemical services only. The consent wording is a starting point, not legal advice: adapt it to your province, your insurer and your professional order.

Client name

Phone

Any scalp condition to work around (psoriasis, sores, sensitivity)?

Any past reaction to hair dye, bleach or relaxer? *

  • Yes
  • No

Anything about the cut or style you want?

For colour, bleach or chemical services: I understand these products can irritate the skin or damage hair, that a strand or patch test may be advised, and that results depend on my hair's history. I have disclosed any past reaction above.

I have read and agree to the statement above.

Signature

Printed name

Date

This form is a starting point, not legal advice. Have it reviewed for your province or state before use.

What the PDF looks likeLetter · 8.5 × 11 in

Business name

barbershops
v1

Intake and consent form

Client name
Phone

Any scalp condition to work around (psoriasis, sores, sensitivity)?

Any past reaction to hair dye, bleach or relaxer? *

  • Yes
  • No

Anything about the cut or style you want?

For colour, bleach or chemical services: I understand these products can irritate the skin or damage hair, that a strand or patch test may be advised, and that results depend on my hair's history. I have disclosed any past reaction above.

I have read and agree to the statement above.

Signature
Printed name
Date
Free form from clevrstart · clevrstart.compage 1 of 1

See the booking for barbershops · Letter, 8.5 × 11 in, one page.