Locks Salon on Public Square Guest Care & Consent Form

Full Name *

Phone *

Email *

▻ Who can we thank for referring you ?

® Friends Full Name, Your friend will receive Reward Points for referring you!!

► Emergency Contact

First & Last Name
Phone Number

► I certify I am a legal adult over the age of 18. Minors, please have a Parent or Legal Guardian complete the remaining fields of this form.

► Parent/ Guardian Information:

Full Name
Phone Number
Email

► CONSENT TO TREATMENT OF MINOR:

By checking this box, I hereby authorize Locks Salon on Public Square to administer service(s) to my child or dependent in my absence.

I understand, and authorize Locks Salon on Public Square and its staff to create a client profile for the minor listed on this consent, so proper service history can be recorded. Information for the minor such as phone number and email information if different from the parent is required for their profile, and or the minors profile can be attached the Parents profile.

► Parent, please list the first and last names of any other minors you would like covered by this CARE CONSENT.

List ALL Minors >>

► GENERAL LIABILITY/ CONSENT

By checking this box, I authorize, Locks Salon on Public Square., its employees and its agents to preform services, including but not limited to the application of professional chemicals to my skin, hair and nails. I release and hold Locks Salon on Public Square., its employees, and its agents harmless against any and all liability, damage, and/or expenses arising out of or in connection with services performed by the above. Actions, claims, costs and/or damages resulting in personal injuries, disabilities (physical and/or psychological), and personal property damage that I might incur because of services, chemical or non-chemical are NOT the responsibility of Locks Salon on Public Square, and are my own personal cost and responsibility. I understand that my professional will communicate ALL services, descriptions & approximate costs of the services I will receive at each visit and document them as thoroughly as possible on my CLIENT PROFILE.

► PHOTO RELEASE, please check one box.

By checking this box, I authorize and license Locks Salon on Public Square and all affiliates, partners, licensees, representatives, and persons acting within their permission or upon their authority to use my name, voice, photograph, likeness, video, appearance, in connection with any Locks Salon on Public Square products and services I have received. I acknowledge that Locks Salon on Public Square may edit and modify the material and may incorporate and use all or any part of the material for marketing purposes. I hereby assign for a period of two (2) years to Locks Salon on Public Square, all worldwide rights, including without limitation copyrights and renewals thereof in and to the material. I agree to execute any further documents that may be necessary to perfect Locks Salon on Public Square ownership of all rights in the material.

By checking this box, I understand and acknowledge that Locks Salon on Public Square and all affiliates, partners, licensees, representatives, and persons acting within their permission, take photographs for documentation of my service results and liability purposes. I DO NOT authorize the use of these photos for marketing or sharing of any kind outside of my Locks Salon on Public Square guest profile.

► CANCELLATION/ NO SHOW POLICY

Your appointments are very important to us at Locks Salon on Public Square. We respectfully request a minimum of 24 hours notice for cancellations or rescheduling. Please understand, when you cancel or forget to show up for your reservation without giving enough notice, we miss the opportunity to fill that reserved time, and our providers miss out on income they use to support their families. Reservations are confirmed, 48 & 24 hours prior to your appointment by text and email to help our guests remember. Services canceled within the 24 hour window, or missed without notice will be automatically charged 50% of the original reservation.

►REFUND / RETURN ACKNOWLEDGEMENT

I am aware of Locks Salon on Public Square. return/ refund policy on services, available on the Locks Salon on Public Square website or in print upon request, and I understand I must follow the policy guidelines, within 7 days, if I am at any time unhappy with services performed by, Locks Salon on Public Square, its employees or agents.

Text Message and Email Opt-in

By checking this box you agree to receive automated Promotional and Transactional messages from Locks Salon on Public Square. You may receive up to 3 msgs/wk. Message and Data Rates May Apply. You may type Stop to opt out at any time

I agree to terms & conditions / Privacy Policy provided by the company. By providing my phone number, I agree to receive text messages from Locks Salon on Public Square

****Text HELP for help ****

► Please sign below (Guardian if Minor Guest), to agree and state that all the above is true to the best of your knowledge,

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