Color & Chemical Services — Prepared Client Agreement
22700 Alessandro Blvd STE A · Moreno Valley, CA 92553 · (951) 653-4477
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This form was prepared for your appointment
Your stylist has pre-filled some details below. Please review everything, complete the remaining fields, and sign.
Client Details
Your Scheduled Service
Chemical or Color Service Being Performed *
Select all that apply to this appointment.
A Note on Appointment Time
Chemical service times vary based on the complexity of your hair, its history, and the result we are working toward together. We encourage clients receiving these services to come without strict time constraints. Your stylist will give you the most up-to-date timing estimate at your appointment, but cannot guarantee a specific end time.
Reference Photos (optional)
Up to 5 images for reference.
Hair History
Check everything that applies, even if it was a long time ago.
Previous Chemical Treatments
Scalp & Health
Where Are We Working?
Wig Drop-Off Requirements
Drop off at least 72 hours before your appointment when prep or customization is needed.
Late drop-off may result in adjusted service or rescheduling.
Final results depend on the wig's quality, density, lace type, and prior processing.
Chemical Service Acknowledgment
Total Appointment Investment
Your Investment — No Surprises at Checkout
This total reflects the full agreed appointment cost, including all preparation, customization, chemical processing, styling, installation, finishing work, and related services discussed during consultation unless otherwise stated.
Total Appointment PriceFull appointment cost, all-in
Deposit AmountApplied toward your total
Balance Due at AppointmentDue at checkout
Deposit Payment
Send Deposit Via Zelle To
(951) 653-4477
Recipient name: Black Sheep Investments
After sending, text or email a screenshot to (951) 653-4477 or info@bookcousins.com to confirm your appointment is held.
I have read this form completely and I am ready to move forward. I agree to hold Cousin's Styling Studio, its owners, staff, contractors, and assigned stylist harmless for outcomes caused by factors outside their professional control or information I did not disclose prior to service.
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Final Step Before Your Appointment
1 Select Print / Save PDF using the button at the top of this page.
2 Save the completed form to your device.
3 Send the completed PDF back to Cousin's Styling Studio by text or email before your appointment.