Chemical Service Consent & Release

1. Purpose

I request and consent to chemical hair services performed by a licensed professional at Salt Creek Hair Co. I understand chemical products will be mixed and applied according to the manufacturer’s label instructions, which may include a predisposition (patch) test, as required by Wyoming Board of Cosmetology infection-control rules (Chapter 10, Chemical Safety).

2. Disclosure of Allergies & Sensitivities

I understand chemical services (including hair color, lightening/bleach, highlights, and perms) can cause allergic reactions, scalp or skin irritation, redness, swelling, itching, burning, or other adverse reactions in some people. I agree to tell my stylist about any known allergies, sensitivities, prior reactions to hair dye or chemical products, latex, fragrance, or related products before service begins.

3. Hair & Chemical History

I agree to disclose my hair history, including box dye, henna, metallic dyes, keratin or smoothing treatments, relaxers, prior perms, recent bleaching or color, and any other chemical services. I understand undisclosed history can affect results and may increase the risk of breakage, uneven color, or scalp irritation.

4. Patch / Predisposition Test

A patch (predisposition) test is recommended, especially for first-time color clients or when a new product formula will be used. Manufacturer labels and Wyoming Board of Cosmetology rules provide that chemicals are to be mixed and applied as instructed on the label, including any patch-test direction. I understand:

• A small amount of product may be applied to the skin (often behind the ear or inner elbow) and observed for a reaction, commonly 24–48 hours before full service when the label so directs.
• If I request a patch test, my appointment may need to be scheduled to allow for that timing.
• If I decline a recommended patch test, I accept the increased risk of an undetected allergic reaction and confirm that declining is my voluntary choice.

5. Health Conditions, Pregnancy, Nursing & Medications

I will tell my stylist if I am pregnant, nursing, or taking medications or treatments that may affect my skin, scalp, or hair. I understand these factors can influence product choice, timing, and results. This salon does not provide medical advice; I am responsible for consulting my own health-care provider with medical questions.

6. Visible Skin Conditions

Under Wyoming Board of Cosmetology rules, a licensee may not perform a service on a client who has visible swelling, eruption, redness, bruising, or rash in the area where the service is to be performed, unless the client has a physician’s note indicating the condition is not contagious. I understand service may be declined or rescheduled if such a condition is present.

7. Results May Vary

I understand results vary with hair type, condition, porosity, prior chemical history, and starting color. Desired results may require more than one appointment. Color may not match a photo, swatch, or inspiration image exactly. Chemical services can cause dryness, breakage, changes in texture, or, in uncommon cases, temporary or permanent hair loss or scalp injury even when products are used as directed.

8. Aftercare

I agree to follow the aftercare instructions given by my stylist (including waiting periods before washing, recommended products, heat styling limits, and sun/chlorine care). Failure to follow aftercare can affect color longevity, curl pattern, and hair condition.

9. Assumption of Inherent Risks

I acknowledge the inherent risks of chemical hair services described above, including allergic reaction, irritation, burns, unexpected color or texture results, and hair damage. I voluntarily assume those inherent risks associated with a service performed in accordance with professional standards and manufacturer instructions.

10. Limited Release

To the fullest extent allowed by Wyoming law, I release Salt Creek Hair Co., its owners, and its licensed professionals from claims arising solely from the inherent, disclosed risks of a chemical service performed according to manufacturer instructions and applicable Board rules, including risks I accepted by declining a recommended patch test or by incomplete disclosure. This release does not waive claims for gross negligence, willful or wanton misconduct, or failure to follow manufacturer instructions or Wyoming Board of Cosmetology requirements. Nothing in this document is intended to limit rights that cannot be waived under Wyoming law.

11. Minors

Under Wyoming law, the age of majority is eighteen (18) (W.S. 14-1-101). If the client is under 18, a parent or legal guardian must review and agree to this consent on the minor’s behalf before a chemical service.

12. Electronic Signature & Records

I agree to conduct this transaction electronically. Under Wyoming’s Uniform Electronic Transactions Act (W.S. 40-21-101 et seq.), an electronic signature may satisfy a legal signature requirement, and an electronic record may satisfy a writing requirement, when the parties have agreed to proceed electronically (see W.S. 40-21-105 and 40-21-107). My typed name and “I Agree” confirmation are intended as my electronic signature and are logically associated with this consent record. I may request a paper copy. I understand I may refuse to conduct future transactions electronically.

13. Optional Photo Consent

Separate from this chemical-service consent, I may be asked for permission to photograph my finished look for the salon’s portfolio or website. Photo consent is optional and is not required to receive services.