Name *

First Name

Last Name

Phone

(###)

###

####

Date

MM

DD

YYYY

*

I acknowledge the service is final after starting the application.

I acknowledge I have (or will have) inspected and approved the hair to be installed by my stylist.

I acknowledge that hair extensions are sensitive and different than intact human hair. I have been informed on proper care and maintenance and agree to follow daily maintenance procedure as recommended by stylist.

I agree that in the event I no longer want to wear/have extensions I am responsible for the total payment of services rendered.

I am aware that with proper care the extension installation should last until my next maintenance appointment (4-6 weeks.)

I understand that my stylist is not responsible if an allergic reaction (i.e. silicone or metal allergy, contact dermatitis) occurs.

I give permission for my stylist to use photos and videos taken before, during and after my service.

I have discussed and agree to the pricing of my installation and maintenance costs with my stylist (One row, $150, two rows $250, and three rows $325. Pricing is subject to change based on customization of installation. Additional cost applies for installations that combine more than one method). Removal cost is $50. There is no removal cost if extensions are being reinstalled.

I acknowledge waiting longer than 8 weeks for maintenance is not recommended and could result in damage to my natural hair and additional costs.

I acknowledge that my stylist is not responsible for damage to my extensions or my own hair if I pursue color, extension, cutting or chemical services by another salon or stylist.

I acknowledge any adjustments will be offered within 7 days of instillation or subject to additional costs. I acknowledge this service is non-refundable.

I agree to the terms and conditions of this contract and recognize it as a true and legally binding contract between myself and Miller Beauty, LLC. By checking this box I acknowledge that typing my name acts as a signature for this contract and my agreement to all boxes checked above. *

Electronic Signature *

Type your first and last name to agree to this contract.

First Name

Last Name