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ECS: GINA CURL ONLINE CONSULT FORM
Salon Intake and Release of Liability Form
This form is the first step in requesting a GinaCurl or GinaCurl Straight Variation appointment at Endless Creations salon and should take less than 7 minutes to complete.
Our Online Consultation form gives us an idea about your specific goals.
NOTE: ALL GINACURL services are currently available on Wednesdays. In addition, a Pre-screening fee is REQUIRED before BOOKING a GinaCurl service.
Your submitted consultation form will be reviewed within 3-5 business days, and we will provide you with a quote along with some information about the requested GinaCurl service(s) via email OR we may request more information, if needed.
The following information will be kept confidential and only used to help the stylist plan safe and effective services.
IT IS IMPORTANT YOU ANSWER ALL QUESTIONS HONESTLY TO THE BEST OF YOUR KNOWLEDGE.
Please Initial and Sign the entire Consultation/Release form before submitting a deposit (As all DEPOSITS ARE NON-REFUNDABLE).
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All of our GinaCurl services begin with a consultation and custom formulation.
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GINACURL BOOKING PROCESS
STEP 1
A: SUBMIT A GinaCurl Online Pre-Screening Fee [$35]
B: BOOK an In-person GinaCurl Hair Analysis[$75]
STEP 2 - COMPLETE AND SUBMIT our Online GinaCurl Consultation form
STEP 3 - EMAIL RESPONSE: We reply to you VIA EMAIL within 3-5 business days to see if you are a qualified candidate to receive a GinaCurl/Straight Variation service and provide you with a personalized quote.
STEP 4
A - REVIEW your Personalized quote and CONFIRM available dates and SUBMIT a GinaCurl/Straight Variation service DEPOSIT or use our SEZZLEPAY Payment option to secure your GinaCurl booking.
For more Info:
CALL US (leave a voicemail) | 480-269-7542 OR TEXT US (Jay - Client Service Coordinator) | 480-485-4413
All appointments will be confirmed by text message and e-mail.
PERSONAL INFORMATION
Name
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First
Last
Email
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Confirm
Phone
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Confirm
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What is the age of the person receiving the GinaCurl services?
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Under 18
Under 21
In my 20s
In my 30s
In my 40s
In my 50s
In my 60s
In my 70s
In my 80s
In my 90s and up
If under 18 or 21, list age and date of birth
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
What is your occupation
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Ex. Student, Retired, Nurse, etc.
HOW DID YOU FIND HE SALON?
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Google
Facebook
Instagram
Yelp
Referral
Current Client
Internet search
Gina Curl Certified Stylist Page
Other
Did someone refer you to Endless Creations Salon? If yes, whom may we thank for the referral?
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Type N/A if this does not apply
CLIENT STATUS
I am a:
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New Client (First Visit) GinaCurl Client
New Clien
Visiting Client (Out of Town)
Welcome Back Client (Last visit 6+ Months)
Visiting Client: Please list your current City and State.
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Type N/A if this does not apply to you
I am a:
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New GinaCurl Client
Retouch GinaCurl Client
New Straight Variation Client
Retouch Straight Variation Client
I am scheduling a GinaCurl service for:
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Myself
My Child
My Grandchild
My Foster Child
My Friend
Other, please explain
Name of person receiving the GinaCurl service
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Type N/A if this does not apply to you
Gender of the person receiving the GinaCurl services:
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Female
Male
Non-Binary
REQUESTED SERVICE
Service Requested?
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GinaCurl
GinaCurl Straight Variation
JHST - jap. Hair Straightening/Thermal Reconditioning
If you are wanting a JHST SERVICE, STOP HERE and fill out our Online JHST Consult Form
HAIR TEXTURE - TYPES - DIFFERENCES
What is your ethnicity?
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African American
Asian
Bi-Racial
Caucasian
Hispanic
Indian
Other
What is your natural, un-treated, air-dried hair texture?
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Type 2 - Wavy (like a loose S)
Type 3A Loose Curly
Type 3B Defined Med. Springy Curls
Type 3C Corkscrew curls
Type 4A Coily, Springy curls
Type 4B Moderate Zigzag Coils
Type 4C Tight Zigzag coils
Kinky-Curly]
Wavy
Other, describe
What's your NATURAL Curl pattern?
CURRENT HAIR CONDITION
How long is your hair when stretched?
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Extra-Short: Above chin/nape
Extra-Short: Between nape and mid neck
Short: Touching shoulder & above
Med-Long: Below Shoulder
Long: Touching Shoulder Blade
Extra-Long: Below Shoulder Blade
Extra-Extra Long: Touching Bra-line
Extremely Long: Below Bra-line to 2 inches
Extraordinary Long: Waist length to 2 inches
LENGTH
-Your hair must be at least 4 inches long to receive this service
-Pricing on services rendered can and will be adjusted based on appropriate Length, Density (thickness), and Product usage upon check-out
LENGTH IS DETERMINED BY THE NATURAL LENGTH OF THE HAIR WHEN THE HAIR IS STRETCHED OUT (ELONGATED).
NOTE: Curly, Kinky & Coily Textured hair grows big before it grows long.
When Curly, Kinky & Coily textures are stretched out fully the true length of the hair is revealed.
Is your hair shedding more than it should be?
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Yes
No
If yes, please explain
Is your hair breaking more than it should be?
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Yes
No
If yes, please explain
Is your hair thinning more than it should be?
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Yes
No
If yes, please explain
Does your hair become knotted?
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Yes, Sometimes
All the time
Not often
If yes, please explain
Is your hair dry and brittle?
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Yes
No
If yes, please explain
Is your hair heat damaged?
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Yes
No
If yes, please explain
How often do you shampoo?
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Every day
2-3 times per week
Once a week
Every other week
Once per mont
Other, please explain
List all of the shampoo(s) you currently use on your hair and how often you apply them.
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What’s your conditioning regime?
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Deep Conditioner no heat
Deep conditioner with heat (dryer or steamer)
Quick conditioner (rinse off in a few minutes)
Leave - in conditioner
No conditioner
List all of the conditioner(s) you currently use on your hair and how often you apply them.
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List all of the Proteins, Reconstructors or Mask Treatments you currently use on your hair and how often you apply them.
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Do you currently have split ends?
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Yes
No
If yes, please explain
How often do you trim your hair and when was your last trim?
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Explain your hair care and conditioning regimen?
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EXAMPLE:
- Quick Conditioner rinse off in a few minutes
- Deep Conditioner no heat
- Leave in Condition Only
How often do you straighten, flat iron, or use heat to style your hair?
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EXAMPLE:
- Quick Conditioner rinse off in a few minutes
- Deep Conditioner no heat
- Leave in Condition Only
Would you say your hair is heat-damaged, or your natural texture is compromised due to flat ironing, blow drying or any other heat-styling?
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What works, and what’s not working for your hair? Please explain:
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How porous is your hair?
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HIGH POROSITY - hair dries quickly and is frizz-prone; products are absorbed quickly.High porosity- (cuticle layer is highly raised and hair tends to dry quickly)
MEDIUM POROSITY - the cuticle is half-way open, which means that moisture can reach inside the hair shaft quite easily
LOW POROSITY - Low Porosity Low porosity the cuticle layer tends not to be raised, hair dries slowly and products may sit on the strand instead of absorbing.
If yes, please explain
Where would you rate your hair on the oily/dry spectrum?
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Roots get naturally oily easily, while mid shaft and ends are balanced
Roots and mid shaft are naturally balanced but ends are dry
Roots are dry as well as mid shaft and ends are dry
CURRENT SCALP HEALTH
Is hair loss a genetic issue in your family?
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Yes
No
I am not sure
If you currently have hair loss, list the areas of hair loss.
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Is your scalp itchy or flaky?
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Yes, Itchy
Yes, Flaky
Yes, Itchy and Flaky
I am not sure
No
HAIR DENSITY
How dense is your hair?
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Yes, I can see a lot of my scalp
I can see a bit of my scalp
No, I can't see my scalp unless I pull the two sections of hair apart
If you look at the top of your head, where your parting is, can you see your scalp?
SELECT THE CORRECT HAIR DENSITY. What is your actual Hair Density?
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Circumference of up to 3 inches
Circumference of 3 to 4 inches
Circumference of 4 inches
Circumference of 5 inches
Circumference of 6 inches
Circumference of 7 inches
Circumference of 8 inches
Circumference of 9 to 10 inches
Circumference of 11-12 inches
Circumference of 13 and up
FOLLOW THE INSTRUCTIONS BELOW FOR AN ACCURATE READING
- Place your hair into a ponytail.
- Wrap a flexible tape measure around your ponytail (this reveals the circumference of your ponytail.
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 your GinaCurl service may be.
HEALTH HISTORY
Are you currently pregnant or have given birth in the past year?
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Yes
No
If yes, please explain
If yes, What trimester are you in?
We cannot apply a GinaCurl in the First Trimester and the Third Trimester of pregnancy.
Have you had surgery that required general anesthesia in the past year?
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Yes
No
If yes, how long ago was the surgery?
PLEASE ANSWER THESE QUESTIONS IN YOUR ANSWER
1. How many months ago was the surgery?
2. Did they use anesthesia?
We cannot apply a GinaCurl until after 3 4 months of surgery.
Do you take any prescription medication?
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Yes
No
If yes, please explain
List all current Medications. If no medication, type N/A
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Please list any known allergies
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IMPORTANT!!!!! NOTE CURL REFORMER RETOUCH CLIENTS
If you have had a Wave Nouveau or Carefree Curl service, please read this section:
You are able to do a GinaCurl if you previously had a Wave Nouveau, CareFree Curl or GeriCurl service. The active ingredient in all Curl Reforming applications is Ammoninum Thiogylcolate.
You will need a minimum of 4 inches of New growth in order to receive a GinaCurl retouch service.
Have you had a GinaCurl before?
Yes
No
GINACURL RETOUCH CLIENTS
If you have had a GINACURL service, please complete this section
If this is your first GINACURL service, please SKIP THIS SECTION
Have you done anything different to your hair since your last GinaCurl?
Yes
No
If yes, please explain here
Have you applied color since your last GinaCurl service?
Yes
No
If yes, what kind of color: Henna, Permanent, semi, demi?
If Permanent Hair color was used – What level developer was used: 6 Vol, 10 Vol, 20 Vol, 30 Vol or 40 Vol - BE SPECIFIC).
This information is crucial for formulation and curl definition results.
Have you applied Highlights, Double Process Color, Balayage or Ombre Highlight to your hair since your last GinaCurl service?
Yes
No
If yes, what kind of Highlights method was done?
If Bleach, Lightner or Hi-Lift Colro was used:
What level developer was used: 6 Vol, 10 Vol, 20 Vol, 30 Vol or 40 Vol - BE SPECIFIC).
This information is crucial for formulation and curl definition results.
Have you performed any at home remedies on your hair?
Yes
No
If yes, please explain here
Do you have a specific rod color or rod size preference?
If you had your last GinaCurl at Hairs Talent we will gather your previous notes from Hair's Talent Salon in Connecticut (Gina or her staff).
If you had your last GinaCurl at another Salon please list the Stylist name and Salon name so that we can gather the notes.
If you would like to change your rod size please list here so that we are prepared.
GINACURL PRICING (Permanent Curl Reformer)
A $300 GINACURL DEPOSIT IS REQUIRED FOR BOOKING
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EXTRA-SHORT HAIR (Chin + Shorter) Starting at $550 with a starting length of 3 inches
SHORT HAIR (Between Chin + Shoulder) Starting at $750
MEDIUM HAIR (Below Shoulder-to-Shoulder Blade) Starting at $950
LONG HAIR (Below Shoulder Blade to Bra strap) Starting at $1250
EXTRA LONG HAIR (Below Bra strap + Longer) Starting at $1500
TYPE N/A if this DOES NOT apply to you.
The required 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.
GINACURL PRICING
GINACURL PRICING (STRAIGHT VARIATION)
A $175 STRAIGHT VARIATION DEPOSIT IS REQUIRED FOR BOOKING
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EXTRA-SHORT HAIR (Chin + Shorter) Starting at $450 with a starting length of 3 inches
SHORT HAIR (Between Chin + Shoulder) Starting at $650
MEDIUM HAIR (Below Shoulder-to-Shoulder Blade) Starting at $850
LONG HAIR (Below Shoulder Blade to Bra strap) Starting at $1150
EXTRA LONG HAIR (Below Bra strap + Longer) Starting at $1400
TYPE N/A if this DOES NOT apply to you
The required 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.
HAIR HISTORY
Is your hair color-treated?
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Yes, my hair is colored but not lightened
Yes, my hair is lightened
No my hair is its natural color without any enhancements
If any part of your hair has been lightened or darkened from your natural color, answer yes.
Please provide a list of any chemicals used (e.g. relaxers, henna, keratin treatments, hair coloring and volume of developer used, highlights, texturizers, etc.) used on your hair in the last 5 years along with the date.
TREATMENT + DATE mm/dd/yyyy
TREATMENT + DATE mm/dd/yyyy
TREATMENT + DATE mm/dd/yyyy
TREATMENT + DATE mm/dd/yyyy
RELAXER, TEXTURIZER, CURLY PERM, KERATIN TREATMENT, COLOR, HIGHLIGHTS, ETC.
ATTACH PHOTOS OF HAIR:
Please upload a photo of your hair AIR DRIED NATURALLY
Take the photo in front of a white wall in a white T-shirt (for visibility).
ALL PHOTOS MUST BE NECK UP
Natural Hair Wet FRONT
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Add File
Natural Hair Wet SIDE
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Add File
Natural Hair Wet BACK
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Add File
Please upload a photo of your hair ELONGATED (STRETCHED OUT).
-STRETCH OUT A STRAND OF HAIR SO WE CAN SEE YOUR LENGTH
Take the photo in front of a white wall in a white T-shirt (for visibility).
ALL PHOTOS MUST BE NECK UP
Stretched FRONT
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Add File
UPLOADING PICTURES HELPS TO DETERMINE HOW MUCH SESSION TIME YOU WILL REQUIRE
Stretched BACK
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Add File
UPLOADING PICTURES HELPS TO DETERMINE HOW MUCH SESSION TIME YOU WILL REQUIRE
Send a CURRENT PHOTO of your hair CURLY IF YOU CURRENTLY wear a SOFT CURL PERM STYLE.
Add File
UPLOADING PICTURES HELPS TO DETERMINE HOW MUCH SESSION TIME YOU WILL REQUIRE
Send a CURRENT PHOTO of your hair STRAIGHTENED and flat ironed IF YOU want the STRAIGHT VARIATION
Add File
UPLOADING PICTURES HELPS TO DETERMINE HOW MUCH SESSION TIME YOU WILL REQUIRE
GINACURL HAIR GOALS
What is your desired finished GINACURL or GINACURL STRAIGHT VARIATION results?
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Example:
STRAIGHT VARIATION: Smooth Silky Look or Rollerset Look
GINACURL: Leave Curl Defined (Wet Curly look, let hair air dry) OR Curl Diffused Styled
GINACURL IN-PERSON HAIR ANALYSIS [$75]
***THIS IS NOT A REQUIRED APPOINTMENT
This is a 60 minute In-person in depth GINACURL 1-on-1 Hair Analysis session to examine and evaluate the clients' hair to determine if the clients' hair is suitable for the GinaCurl service.
A hair analysis is performed on your hair to ensure the GINACURL service is suitable for your hair type.
The pre-screening is based on your responses in our GINACURL ONLINE CONSULT FORM plus an In-person Hair Analysis appt.
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The $75 GINACURL IN-PERSON HAIR ANALYSIS fee will hold your GINACURL IN-PERSON HAIR ANALYSIS appointment slot.
- NOTE: When booking a GinaCurl In-person Hair Analysis, you are NOT booking a GinaCurl service.
- We Test and Analyze your hair to ensure it is both strong, durable and suitable to endure a GinaCurl service
If your hair is NOT suitable, we will give you a Hair plan to prep your hair for a future GinaCurl service.
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The GinaCurl In-Person Hair Analysis fee is non-refundable and non-transferable and will be forfeited if you cancel or reschedule in less than 24 hours of your scheduled appointment.
The GinaCurl In-Person Hair Analysis fee WILL NOT be applied to the balance of your GinaCurl appointment service.
After submission of the GinaCurl In-Person Hair Analysis fee, Text a screenshot of the confirmation page to our Textline at 480-485-4413.
TEXT us a minimum of 3 days, dates and time of day you are requesting for your GinaCurl In-Person Hair Analysis appointment request. We will try to accommodate your date request based on our availability.
DURING YOUR GINACURL APPOINTMENT
- Please allow a 3–4-hour window for the GinaCurl Straight Variation service
-Please allow a 6–8-hour window for the GinaCurl service
-GinaCurl clients: Bring some entertainment (you can only wear earplugs that insert inside the ear canal only - earplugs that go around the ear are feasible.
- Be prepared to sit under the dryer for 2-3 hours , we provide various comfort items to improve your comfort level while drying.
GINACURL SCHEDULING
Appointments for the GinaCurl and the Straight Variation services are currently available on WEDNESDAYS.
If you would like to schedule your GINACURL service on an ALTERNATIVE DAY a $100 convenience fee will be required
You can REQUEST A SPECIFIC DAY FOR YOUR GINACURL APPOINTMENT. Use the comment box below to specify your availability.
We will then try to accommodate your request
based our current availability.
If there is NO availability for the specified dates you request, we will TEXT or EMAIL you with alternative dates and/or offer to add you to OUR GINACURL WAITLIST.
YOUR APPOINTMENT PREFERENCES
LIST DETAILS IN COMMENT BOX - BE SPECIFIC
1. Preferred date:
2. Preferred time:
3. Preferred GinaCurl or Straight Variation
4. Requests or restrictions:
5. Any other information that may be helpful in booking your appointment.
GINACURL APPOINTMENT LUNCH OPTIONS
We will provide lunch to you the day of your GinaCurl Re-touch appointment - The lunch budget is $30.
Here is a small list of restaurants located on our plaza. Select an option now (OPTIONAL).
Panera Bread
Chick-Fil-A
Olive Garden
Jimmy Johns
Del Taco
In and Out Burger
Old Chicago
Rubios
There are other restaurants nearby. We can also order your lunch from GrubHub, UberEats, Door Dash etc. Just let us know your preference.
Please have an idea of what you would like to order the day of your GinaCurl appointment.
You can email your Lunch Order to Jay @ appointmentdesk@endlesscreationssalon.com at least 48 hours before your GinaCurl service.
FLEXIBLE PAYMENT OPTIONS
Flexible Payment Plans Available
We are pleased to offer our GinaCurl clients a convenient way to pay for all their GinaCurl service.
Select which payment option works best for you.
Pay my GinaCurl Specialty Service deposit & pay my balance on the day of service upon arrival
Pay half of my service now and pay the remainder balance on the day of service upon arrival
Pay Full Price now
We offer multiple payment options to help with the cost of your GinaCurl Service
Text our Client Service Coordinator (Jay) at 480-485-4413 for GinaCurl booking assistance or a Payment Link.
CONSULTATION PURPOSE
The purpose of this Consultation is to make your GinaCurl or Straight Variation as successful as possible.
We are looking for length, condition, texture and previous chemicals in the hair. Be as honest and thorough as possible to prevent any adverse reactions to this chemical service.
GINACURL DEPOSIT
The GinaCurl service is considered a Specialty Appointments and a non-refundable deposit is required to hold an appointment slot. The deposit will go towards your final bill.
COPY & PASTE GinaCurl deposit link in your web browser to submit the Deposit:
https://bit.ly/GINACURLDEPOSIT
ADDITIONAL PAYMENT OPTIONS
- CASHAPP: $MSCECEFOXX
- VENMO ID: @MSCECEFOXX
- ZELLE: mscece@endlesscreationssalon.com
GINACURL FINAL PAYMENT
Final payment is due UPON ARRIVAL the day of your GinaCurl appointment.
GINACURL CANCELLATION NOTICE
We require a 48-hour cancellation notice for all Specialty service appointments with (1) courtesy reschedule modification.
GINACURL LATE ARRIVALS:
Any client who is more than 15 minutes late to their appointment will be charged a $50.00 additional fee. If you are more than 30 minutes late this could result in having to reschedule.
NOTE: This is a lengthy Specialty service and we block out 6-8 hours for this service
WHAT'S NEXT
After reviewing your GinaCurl consultation and the photos we will send you a quote VIA EMAIL and be able to answer your questions and/or concerns on a more personal level.
GinaCurl Treatment Release Form
In order to ensure a quality service, please read, initial and sign and date the following statements.
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GinaCurl Release Form In order to ensure a quality service, please read, initial and sign and date the following statements. *
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 the GinaCurl service is designed to reform over-curly hair textures by using a Thio chemical product.
I understand that my stylist will give me aftercare instructions and product recommendations to best care for, preserve and prolong my GinaCurl results.
I understand that this information is mportant 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 and certified 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 GinaCurl treatment service if the process has unexpected or undesired results.
I agree to all aftercare instructions and understand that my GinaCurl service is non-refundable and non-negotiable
In order to book my GinaCurl service I agree to pay a non-refundable retainer to secure my appointment slot. The deposit will be applied to the balance due.
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