FIRST VISIT CHEMICAL RELAXER/TEXTURIZER FORM
Endless Creations Salon | Chandler/Gilbert Arizona

If you are a new client or if it has been 120 days or more since your last visit, you will need to complete this form.

PURPOSE OF THE CONSULTATION
This online form helps us understand your hair goals and schedule the right service for you. It's the first step in requesting a Virgin or Retouch Relaxer appointment at Endless Creations Salon.

Note: All Chemical Relaxer/Texturizer services are available Wednesdays - Saturdays.

HOW TO RESERVE A CHEMICAL RELAXER/TEXTURIZER APPOINTMENT

STEP 1: Complete and submit this First Visit Chemical Relaxer/Texturizer consult form.

STEP 2. Ms. CeCe (Stylist) reviews your form and provides personalized recommendations based on your hair's condition. Additional information may be requested if necessary.

STEP 3: Email & Text Response
You will receive a response via email within 72 business hours. Our appointment coordinator, checks messages from Tuesday to Saturday, 8 AM to 4 PM. You will receive a Confirmed Appointment Chemical Relaxer/Texturizer Quote & Summary about your hair's suitability and personalized recommendations.

STEP 4: Review and Confirm
Review your personalized quote and confirm available dates via email or text to our Client Service Coordinator.

STEP 5: Secure Your Chemical Relaxer/Texturizer Booking

Submit your Preferred method of payment for your requested Chemical Relaxer/Texturizer service or utilize one of our payment plan options to secure your booking.

IMPORTANT NOTES:
- You may be placed on our waitlist, with an approximate wait time of 1-4 weeks.

- You have 72 hours (3 days) to respond to our Confirmed appointment Silk Press Quote & Summary email. If we do not receive a response, an appointment will not be scheduled.

- We will take non-identifiable photos and/or videos for social media to highlight our Chemical Relaxer/Texturizer services.

Note: Photos are required on this form.

  • PERSONAL INFORMATION

    We are excited to have the pleasure of serving you and we appreciate you taking the time to answer our Consultation questions before your Chemical Relaxer/Texturizer appointment with us.
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  • CLIENT STATUS

  • Ex. Student, Retired, Nurse, etc.
  • 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

  • REQUESTED RELAXER/TEXTURIZER SERVICE

  • RELAXER/TEXTURIZER SERVICES PRICE RANGE - VISIT OUR WEBSITE OR DOWNLOAD OUR APP FOR CURRENT PRICING.

    -FIRST VISIT RLXR RETOUCH + STYLE | $145 & UP
    -FIRST VISIT RLXR RETOUCH (8-11 WKS) +OLAPLEX+TRIM | ADULT [$195+]

    - RLXR VIRGIN | TWEEN: AGES 9-15 [$95+]
    - RLXR VIRGIN | ADULT [$105+]

    - RLXR RETOUCH | TWEEN: AGES: 9-15 [$75+]
    - RLXR RETOUCH (8-11 WKS) | ADULT [$85+]
    - RLXR RETOUCH PLUS (12-16 WKS) | ADULT [$95+]


    RLXR RETOUCH PIXIE (8-11 WKS | $130+


    - VIRGIN RELAXER SERVICE - For previous non-relaxed clients. Relaxing the entire hair shaft.
    - RETOUCH RELAXER SERVICE - Relaxing the re-growth (root area non relaxed) hair.
    - TEXTURIZER RELAXER SERVICE - A Texturizer slightly loosens tight curls-waves-kinks- coils and creates softer curl pattern.

    RELAXER STARTING PRICES

    -FIRST VISIT RLXR RETOUCH + STYLE | $145 & UP
    -FIRST VISIT RLXR RETOUCH (8-11 WKS) +OLAPLEX+TRIM | ADULT [$195+]
    -FIRST VISIT RLXR RETOUCH PIXIE (8-11 WKS | $130+

    VIRGIN RELAXER | ADULT [$105 & UP]
    VIRGIN RELAXER | TWEEN: AGES 9-15 [$95+]

    **All prices starting as listed rates. Additional cost may be applicable to longer/thicker hair and required extra time/product to create each personalized custom goal.

    SHORT HAIR
    **Includes Up to 4 OZ of Relaxer - Extra Bowl of Relaxer is $25 additional per BOWL

    MED - LONG HAIR PRICING
    **Includes Up to 6 OZ of Relaxer - Extra Bowl of Relaxer is $25 additional per BOWL

  • HAIR TEXTURE - TYPES- DIFFERENCES

  • CHEMICAL HISTORY

  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.
  • Type N/A if this does not apply to you.

  • HEALTH HISTORY

  • CURRENT HAIR LENGTH

    Hair length impacts how much relaxer is required and the total processing time - longer hair may require more product and care
  • WHAT LENGTH DOES YOUR HAIR NEED TO BE FOR A RELAXER/TEXTURIZER HAIR SERVICE?

    Your hair should be at least 2+ inches long

    HOW TO MEASURE YOUR HAIR LENGTH
    For an accurate measurement, use a flexible measuring tape. Start at your scalp and extend the tape along the length of your hair to determine its length in inches or centimeters.

  • HAIR DENSITY

    Hair density affects how much cream relaxer is required for proper saturation and processing - more density may require more product and service time.
  • FOLLOW THE INSTRUCTIONS BELOW FOR AN ACCURATE READING
    - Place your hair into a ponytail using a ponytail holder (wrapping 2x's).
    - Wrap a flexible tape measure around the base of your ponytail (this reveals your hairs' density).

    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 and product usage your GinaCurl service may be.

  • CURRENT HAIR CONDITION

  • HAIR THINNING AND HAIR LOSS

  • If no, type N/A

  • CURRENT HAIR MAINTENANCE

  • Please list everything you put in your hair including Shampoos, Conditioners, Styling aids, Proteins, Mask Treatments, etc.

    Example:

    -Quick Conditioner rinse off in a few minutes
    - Deep condition no heat
    - Leave in condition only

    NOTE: Some products can be incompatible with professional chemicals, so please be as honest and transparent as possible.
  • HOW OFTEN DO YOU STRAIGHTEN, FLAT IRON, OR USE HEAT TO STYLE YOUR HAIR?

  • CURRENT SCALP HEALTH

  • CURRENT CUT/TRIM STATUS

    Knowing your last time helps ensure your ends are healthy and intact, resulting in a polished finished look - not a frayed or breakage- prone look.
  • When was your hair last haircut/trim? And, who cut/trimmed your hair? Professional or At Home stylist?
  • Example: Hair Cut, Trim or Demi/Semi Color service

    Additional Services with Hair a Relaxer service are additional Cost.

  • RELAXER BRAND PREFERENCE

  • PHOTOS

  • 1 - Front of head
    2 - Rt Side of head
    3 - Left Side of head
    4 - Back of head

    PLEASE STAND AGAINST A WHITE OR LIGHT BACKGROUND

    NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - WE NEED TO SEE YOUR HAIR.
  • 1 - Front of head
    2 - Rt Side of head
    3 - Left Side of head
    4 - Back of head

    PLEASE STAND AGAINST A WHITE OR LIGHT BACKGROUND

    NO PONYTAILS, UPDO STYLES, BRAIDS, WEAVE ETC. - WE NEED TO SEE YOUR HAIR.

  • SKIN & SCALP CONDITION

  • Type N/A if this does not apply to you.

  • RELAXER STYLING & MAINTENANCE

  • In your own words please describe
  • RELAXER CARE TREATMENTS ARE HIGHLY RECOMMENEDED BETWEEN RELAXER RETOUCH SERVICES IN ORDER TO STRENGTHEN AND FORTIFY YOUR RELAXED HAIR.

  • DAMAGED HAIR NOTICE

    If you’re experiencing significant breakage or damage, we recommend two options:

    DAMAGED HAIR REPAIR TREATMENT - $130 per session (3-5 sessions recommended before chemical application). This in-salon treatment restores essential elements to help bring your hair back to life.

    Mizani Butter Blend Relaxer Service - Pricing varies (based on retouch vs. virgin application). This sensitive scalp relaxer smooths rough, brittle hair and is ideal for fine, color-treated hair, offering 70-90% curl reduction while maintaining texture versatility.

  • RELAXER APPOINTMENT AVAILABILITY

  • To expedite the Process sign up to be put on our waiting list. Text Jay at 480-485-4413 for Sign Up Form

  • SELECTING AN APPOINTMENT DAY(S)

  • NOTEICE: BRAID REMOVAL & DETANGLING.

    If you are just removing braids, twist, extensions, etc. after an extended period of time, please Shampoo, Condition and Detangle your hair 4 DAYS before your Relaxer appointment and oil your scalp.

    The excess time it takes to detangle matted hair is NOT included in our service times. Should you arrive with matted, tangled hair, we reserve the right to cancel your appointment.

    Clients are NOT permitted to detangle their hair or remove braids, twist, extensions at their scheduled appointment. Hair Detangling is a separate service and fees will apply.

  • POROSITY & ELASTICITY TEST


    For Virgin Relaxer Clients:

    A Porosity & Elasticity Test is required on the day of your Relaxer service at no extra cost. This test assesses your hair's health, determines the formula strength needed, and helps establish processing time.

    If your hair is not healthy enough, we will not proceed with the Relaxer, and any remaining balances will be due.


    Pre-Porosity & Elasticity Test [$25] | Highly Recommended

    Consider scheduling a Porosity & Elasticity Test 2-7 days prior to your Relaxer service. This 30-minute appointment will help us assess your hair and determine the best approach for your treatment. This test is a separate service.
  • This payment is non-refundable and non-transferable, as it reserves 3-4 hours on our calendar, preventing others from booking during that time.

  • CLIENT SAFETY

    Your clothes may be exposed to the chemicals and products despite our best efforts to protect them. We advise that you dress down at your Relaxer appointment

    There is a risk of your jewelry (earrings, necklaces, etc.) being damaged or lost during your service(s). We advise that your remove them before your service(s).
  • Genetics, medications, hormones, and health affect your hair's chemical makeup. Individual responses vary, so what works for one may not work for another.
    Previous chemical services, whether done professionally or at home, carry risks. Faded hair color remains until cut.
    Well water, hard water, and copper pipes can lead to mineral buildup in your hair, reacting unpredictably with ammonium thioglycolate (THIO).
  • I acknowledge that this is a virtual hair analysis and consultation with a licensed certified hair stylist. Copy
    I have provided all information about my previous hair treatments and colors that may affect the outcome of my service.
    I understand that failing to provide accurate information may lead to hair damage and inconsistent or ineffective treatment results.
    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 relaxer treatments permanently straighten very curly hair, while texturizer treatments loosen overly curly hair using a chemical relaxer or texturizer product.
    I understand that my stylist will provide aftercare instructions and product recommendations to care for and prolong my relaxer/texturizer treatment results.
    I am not pregnant or nursing, and I have informed my stylist of any relevant medical conditions, including asthma or respiratory issues.
  • I understand that this is important information 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 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 Relaxer treatment service if the process has unexpected or undesired results.
    I agree to all aftercare instructions and understand that my Relaxer service is non-refundable and non-negotiable
    In order to book my Relaxer treatment 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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