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Patch test: A small percentage of individuals can experience adverse reactions due to the application of hair color products. While rare, symptoms can include burning, redness, itching and/ or swelling. Due to the variety of ingredients used in haircolor products, these symptoms may occur even if you have had your hair colored in the past with no reaction. Your colorist can administer a “patch test” to determine if you will experience a reaction to hair coloring. This test must be administered 48 hours prior to your appointment for coloring services. You have the right to request a patch test prior to every service at no additional charge to you. Please indicate below whether you would like the patch test performed: ● More time and expertise is required than with a standard color service. ● Reconstructive treatments may be needed prior to color services. ● Multiple visits will likely be required to achieve your desired color. ● Each subsequent visit will be a separate color service with separate charges applied. ● Specific products/treatments may be recommended to use at home to help guarantee color correction results. Please note that the number of visits cannot be determined until the process is started. Additionally, there is not a set price for corrective color. The cost is determined by the amount of work necessary to achieve the desired result. Therefore, no refunds will be given after salon visit if additional visits are needed to achieve the final desired result. Vivid Colors: Vivid color are not permanent, therefore will fade in time. We can not guarantee vivid color longevity if color safe shampoo is not purchased at salon. After two weeks, any touch up of color is not considered a redo. LCS is not responsible for any damage to jewelry, clothing or any personal item during color service.

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Do you wish to have a patch test done? *

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Is this a "Corrective" Color *

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By entering name below indicates that you have read and understand this form, that you have been offered a patch test, and that you direct your stylist to proceed with your hair coloring service. Signing below indicates your consent and agreement to indemnify, defend and hold harmless, Lina’s Chop Shop it’s owners, employees, agents and assigns from any liability claim or action arising from the application of hair coloring products. *

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