ECS: RELAXER ONLINE CONSULT FORM
Salon Intake and Release of Liability Form

This form is the first step in requesting a Virgin or Retouch Relaxer appointment at Endless Creations Salon and should take less than 7 minutes to complete.

ONLINE CONSULTATION PURPOSE
The purpose of this Consultation is to make your Virgin Relaxer or Retouch Relaxer service is as successful as possible. We are looking for length, density, current condition of your hair, texture and previous chemicals in the hair in order to prevent any adverse reactions to this chemical service.

This Online Consultation form gives us an idea about your specific goals and requirements.


NOTE: ALL RELAXER services are currently available on Tues - Saturdays.

___________
RELAXER BOOKING PROCESS

STEP 1 - COMPLETE AND SUBMIT THIS ONLINE RELAXER CONSULT FORM


STEP 2 - - EMAIL RESPONSE
Response Time from our Client Service Coordinator Jay: All Relaxer appointment requests are responded to via email/text within 72 administrative business hours.

BUSINESS DAYS: Tuesday-Saturday
CLOSED (Sundays & Mondays).

NOTE: All of our Relaxer services begin with a consultation and custom formulation - which requires stylist assessment.


After the stylist has reviewed your consultation form, we reply to you VIA EMAIL to determine your hairs' suitability to the requested service.

We then will provide you with a personalized quote along with some information and/or the best course of action, OR we may request more information, if needed.

STEP 3 - REVIEW AND CONFIRM
REVIEW your Personalized quote and CONFIRM the available dates via EMAIL or TEXT our Client Service Coordinator

STEP 4 - SECURE YOUR RELAXER BOOKING
SUBMIT a Virgin Relaxer or Retouch Relaxer service DEPOSIT or use our PAYMENT PLAN option to secure your Relaxer service.
___________
For more Info:
Appointment Line: 480-269-7542 (VM ONLY)

OR TEXT US (Jay - Client Service Coordinator) | 480-485-4413

All appointments will be confirmed by text message and e-mail.

  • PERSONAL INFORMATION

  • - -
    - -

  • CLIENT STATUS

  • Ex. Student, Retired, Nurse, etc.
  • CLIENTS UNDER THE AGE OF 17 MUST COMPLETE THIS FORM AND ALSO COMPLETE OUR ONLINE PARENT CONSENT FORM.

    BOTH FORMS MUST BE SUBMITTED PRIOR TO AN APPOINTMENT

  • REQUESTED SERVICE

  • RELAXER SERVICES PRICE RANGE - VISIT OUR WEBSITE OR DOWNLOAD OUR APP FOR CURRENT PRICING.

    -FIRST VISIT RLXR RETOUCH + STYLE | $145 & UP
    -FIRST VISIT RLXR RETOUCH (8-11 WKS) +OLAPLEX+TRIM | ADULT [$195+]

    - RLXR VIRGIN | TWEEN: AGES 16-17 [$95+]
    - RLXR VIRGIN | ADULT [$105+]

    - RLXR RETOUCH | TWEEN: AGES: 16- 17 [$75+]
    - RLXR RETOUCH (8-11 WKS) | ADULT [$85+]
    - RLXR RETOUCH PLUS (12-16 WKS) | ADULT [$95+]


    RLXR RETOUCH PIXIE (8-11 WKS | $130+


    - VIRGIN RELAXER SERVICE - For previous non-relaxed clients. Relaxing the entire hair shaft.
    - RETOUCH RELAXER SERVICE - Relaxing the re-growth (root area non relaxed) hair.
    - TEXTURIZER RELAXER SERVICE - A Texturizer slightly loosens tight curls-waves-kinks- coils and creates softer curl pattern.

    RELAXER STARTING PRICES

    -FIRST VISIT RLXR RETOUCH + STYLE | $145 & UP
    -FIRST VISIT RLXR RETOUCH (8-11 WKS) +OLAPLEX+TRIM | ADULT [$195+]
    -FIRST VISIT RLXR RETOUCH PIXIE (8-11 WKS | $130+

    VIRGIN RELAXER | ADULT [$105 & UP]
    VIRGIN RELAXER | TWEEN: AGES 16-17 [$95+]

    **All prices starting as listed rates. Additional cost may be applicable to longer/thicker hair and required extra time/product to create each personalized custom goal.

  • HAIR TEXTURE - TYPES- DIFFERENCES

  • PREVIOUS CHEMICALS

  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.

  • MAINTENANCE ROUTINE

  • HEALTH HISTORY

  • CURRENT HAIR LENGTH

  • HAIR DENSITY

  • If you look at the top of your head, where your parting is, can you see your scalp?
  • FOLLOW THE INSTRUCTIONS BELOW FOR AN ACCURATE READING
    - Place your hair into a ponytail using a ponytail holder (wrapping 2x's).
    - Wrap a flexible tape measure around the base of your ponytail (this reveals your hairs' density).

    HD - High Density Hair requires more time and product usage.

    This helps us to QUOTE CORRECT pricing and allocate and anticipate the amount of time and product usage your GinaCurl service may be.

  • CURRENT HAIR CONDITION

  • Please list everything you put in your hair including Shampoos, Conditioners, Styling aids, Proteins, Mask Treatments, etc.

    Example:

    -Quick Conditioner rinse off in a few minutes
    - Deep condition no heat
    - Leave in condition only

    NOTE: Some products can be incompatible with professional chemicals, so please be as honest and transparent as possible.
  • When was your hair last haircut/trim? And, who cut/trimmed your hair? Professional or At Home stylist?
  • HOW OFTEN DO YOU STRAIGHTEN, FLAT IRON, OR USE HEAT TO STYLE YOUR HAIR?

  • CURRENT SCALP HEALTH

  • RELAXER RETOUCH PRICING - HOLD MY SPOT DEPOSIT REQUIRED FOR BOOKING

    This deposit will go towards your FINAL payment on your reserved appointment day.

    NOTE: Pricing is based on natural length of the hair when stretched out (elongated). Select correct length as pricing will be adjusted based on actual length at the time of service.

    PRICING FOR NEW RELAXER RETOUCH CLIENTS AND CLIENTS WE HAVE NOT SEEN WITHIN 4+ MONTHS

    SHORT HAIR
    **Includes Up to 4 OZ of Relaxer - Extra Bowl of Relaxer is $25 additional per BOWL

    MED - LONG HAIR PRICING
    **Includes Up to 6 OZ of Relaxer - Extra Bowl of Relaxer is $25 additional per BOWL

  • VIRGIN RELAXER PRICING - SPECIALTY SERVICE DEPOSIT REQUIRED FOR BOOKING

    This deposit will go towards your FINAL payment on your reserved appointment day.

    NOTE: Pricing is based on natural length of the hair when stretched out (elongated). Select correct length as pricing will be adjusted based on actual length at the time of service.
  • Example: Hair Cut, Trim or Demi/Semi Color service

    Additional Services with Hair a Relaxer service are additional Cost.

  • RELAXER FIRST VISITS PACKAGE DEAL


    FIRST VISIT RELAXER RETOUCH OFFER
    RELAXER RETOUCH ({ROOT ONLY}+ COLOR GLOSS + OLAPLEX +TRIM

    4 interest-free payments starting at $41.75. Get $5 back on your first purchase with SHOPPAY. Visit our Online store. Details below

    Copy & paste Link for Offer: https://bit.ly/FVRELAXRETOUCH

    NO DEPOSIT IS REQUIRED FOR CLIENTS THAT SELECT FIRST VISIT RELAXER RETOUCH OFFER

  • PHOTOS

  • 1 - Front of head
    2 - Rt Side of head
    3 - Left Side of head
    4 - Back of head

    PLEASE STAND AGAINST A WHITE OR LIGHT BACKGROUND

    NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - WE NEED TO SEE YOUR HAIR.

  • HAIR THINNING & HAIR LOSS

  • SKIN & SCALP CONDITION

  • Type N/A if this does not apply to you.

  • RELAXER STYLING & MAINTENANCE

  • In your own words please describe
  • RELAXER CARE TREATMENTS ARE HIGHLY RECOMMENEDED BETWEEN RELAXER RETOUCH SERVICES IN ORDER TO STRENGTHEN AND FORTIFY YOUR RELAXED HAIR.

  • DAMAGED HAIR NOTICE

    If you are suffering from major breakage or damage, we recommend 2 Options.

    1. Damaged Hair Repair Treatment - $130 per session - (3-5) sessions recommended to bring hair back to life before applying a chemical to your hair. This is an In-Salon Treatment Brings your hair Back to Life. This treatment will restore the missing elements back into the hair to a healthy balance.

    2. Mizani Butter Blend Relaxer Service - Pricing Varies: Based on Retouch or Virgin Application.

    Designed to gently smooth rough, brittle and frizzy hair. This is a sensitive scalp relaxer that transforms texture in healthy way. This hair straightening treatment was made for fine, color-treated hair.

    Offers Texture Versatility: Hair is Straightened but offers a Smooth Texturized Relaxed look. Offer 70-90% Curl Reduction

  • RELAXER APPOINTMENT AVAILABILITY

  • To expedite the Process sign up to be put on our waiting list. Text Jay at 480-485-4413 for Sign Up Form

  • SELECTING AN APPOINTMENT DAY(S)

  • BRAID REMOVAL & DETANGLING.

    If you are just removing braids, twist, extensions, etc. after an extended period of time, please Shampoo, Condition and Detangle your hair 4 DAYS before your Relaxer appointment and oil your scalp.

    The excess time it takes to detangle matted hair is NOT included in our service times. Should you arrive with matted, tangled hair, we reserve the right to cancel your appointment.

    Clients are NOT permitted to detangle their hair or remove braids, twist, extensions at their scheduled appointment. Hair Detangling is a separate service and fees will apply.

  • POROSITY & ELASTICITY TEST


    *******FOR VIRGIN RELAXER CLIENTS*******

    A Porosity & Elasticity Test is required THE DAY of your Relaxer service at NO additional cost.

    The Porosity & Elasticity determine the following:

    - The hairs' health
    - Formula Strength to use
    - Formula processing time.

    If the test reveals the hair is not healthy enough we WILL NOT proceed with the Relaxer service and all remaining balances are due.
    _______________________________________

    PRE-POROSITY & ELASTICITY TEST [$25] | HIGHLY RECOMMENDED

    We will perform a Porosity & Elasticity Test 2-7 Days to assess and pre-screen your hair before your Relaxer service in order to determine the best course of action to take.

    This is a Porosity & Elasticity Test Only appointment scheduled for up to 30 minutes. This is a separate service.

  • CLIENT SAFETY

    Your clothes may be exposed to the chemicals and products despite our best efforts to protect them. We advise that you dress down at your Relaxer appointment

    There is a risk of your jewelry (earrings, necklaces, etc.) being damaged or lost during your service(s). We advise that your remove them before your service(s).
  • MPORTANT!!!!!

    -SCROLL DOWN TO THE CORRECT DEPOSIT SECTION AND SELECT THE APPRORIATE CLIENT STATUS.

    -FOLLOW THE PAYMENT PROMPTS

    1. TEXT US AT 480-485-4413 A SCREENSHOT OF YOUR RECEIPT
    2. INCLUDE YOUR DESIRED APPOINTMENT DATE(S) AND TIME(S) FOR AVAILABILITY.
  • Genetics, medications, hormones and your overall health. All of this plays a role in making up your chemical make up, including your hair. What may work for one person, may not work well for another due to the differenes in how your body reacts.
    Previous Chemical services - professional or at home: Whether lightened or darkened by a box or professional, or permed or relaxed, all of these services present their own risk. A faded Hair color remains in the hair until it is cut off.
    Well Water, hard water, and copper pipes - heat reactions #1: Mineral deposits from water and pipes can build up in your hair and cause a reaction with the active ingredient: Ammonium Thioglycolate (A.K.A - THIO). The reactions can be UNPREDICABLE
  • I acknowledge that this is a virtual hair analysis and consultation with a Licensed Certified Hair Stylist
    I have provided all information regarding previous treatments to my hair and/or color that may or may not affect the outcome of my service
    I understand Failure to provide true or accurate information can result in possible damage to my hair as well as lack of treatment consistency or effectiveness.
    I understand that My stylist will explain to me the process they recommend for my hair type, texture, condition and desired results.
    I understand that Relaxer Treatments are designed to permanently straighten over-curly hair textures by using a chemical relaxer product.
    I understand that my stylist will give me aftercare instructions and product recommendations to best care for, preserve and prolong my Relaxer treatment results.
    I am not pregnant or nursing, and I have advised my stylist of any potential concerning medical conditions including asthma or respiratory disease
  • I understand that this is important information and any information I withhold regarding previous services will increase my chances of damage and unpredictable chemical reactions
    I understand that my stylist has been trained in the service(s) technique and that they will do their best to create the best results
    I release my stylist, Endless Creations Salon and any affiliates from any liability during or after my Relaxer treatment service if the process has unexpected or undesired results.
    I agree to all aftercare instructions and understand that my Relaxer service is non-refundable and non-negotiable
    In order to book my Relaxer treatment I agree to pay a non-refundable retainer to secure my appointment slot. The deposit will be applied to the balance due.
  • / /
  • Clear