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Consultation Form

Birthday
Day
Month
Year

Natrual hair colour, Current hair colour, Colour done in the last 5 years, Any previous box dyes? Any previous bleach? Any colour stripping or colour remover? Any chemical treatments? (perm, relaxer, any henna)

Anything you might be allergic to including hair dye.

(for safety with ammonia and bleach)

(low,medium,high)

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Date and time
Day
Month
Year
Time
HoursMinutes
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