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Intake Form
Thank you for choosing The Tressing Room! This form helps us get to know your child, understand their hair needs, and prepare for a safe, comfortable, and successful appointment. Please complete each section as accurately as possible. Most families complete this form in about 5–10 minutes.
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Parent/Guardian Information
Parent/Guardian Name
*
First
Last
Parent Phone Number
*
Parent's Email Address
*
Is would typical
Home Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent's Preferred Contact Method
Text Message
Call
Email
May appointment reminders be sent via text?
Yes
No
May I contact you if I need additional information before confirming your appointment?
Yes
No
May I contact you after your appointment regarding follow-up care or future appointments?
Yes
No
Child Information
Child's Name
*
First
Last
Child's Birthday
*
Child's Age
*
How does your child typically respond to having their hair done?
*
Loves it
Does well
Gets nervous
Cries occasionally
Strongly dislikes it
This is their first professional appoinment
Hair Information
Has your child ever received professional hair services?
*
Yes
No
Please list all services and styles your child has received in the past.
Examples include: wash, blow dry, straightening, cut, trim, braids, twists, extensions, loc styles and maintenance, crochet, chemical services, etc.
Hair Goals
What are your goals for your child's hair?
Upload Photos of Your Child's Hair
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 5 files.
Please upload 3-5 recent photos of your child's natural hair. Include photos of the front, back, and side.
Upload Inspiration Photos of Your Desired Style
*
Drag & Drop Files,
Choose Files to Upload
You can upload up to 3 files.
Upload at least one photo of the hairstyle you desire for your child. The photo must clearly show sizing and length. No AI or hand drawings will be accepted.
Health Information
Allergies
*
Please list all products, fragrances, environmental, animal, and food allergies.
Medical Conditions
*
Sensory Considerations
*
Behavioral Considerations
*
Comfort & Care
Is your child potty trained?
*
Yes
Working on it
No
Does your child wear diapers or pull ups?
*
Yes
No
If applicable, how would you like diaper changes handled?
I will return if my child needs a diaper change.
I authorize The Tressing Room to change my child's diaper if necessary.
This does not apply to my child.
Does your child typically ask to go to the bathroom?
*
Yes
Needs reminders
Requires assistance
Does your child have a typical toileting routine you'd like me to know about?
*
Does your child have a comfort item they would like to bring?
*
Stuffed animal
Blanket
Pacifier
Bottle/Cup
Tablet
Headphones
Sensory toy
Other
Does your child have any favorite activities?
*
Coloring
Reading
Watching cartoons
Movies
Fidget toys
Conversation
Quiet time
Other
Is there anything that helps your child feel calm or comfortable?
*
May your child be offered:
Water
*
Yes
No
Juice
*
Yes
No
Occasional snack
*
Yes
No
Food allergies and dietary restrictions
*
Emergency Contact
Emergency Contact Name
*
First
Last
This person must be reachable and able to provide transportation for your child within approximately 15 minutes if needed.
Emergency contact relationship to child
Emergency Phone Number
Pickup Authorization
Besides yourself, who may pick up your child?
Name
*
First
Last
Relationship to child
*
Phone
*
Is there anything else you would like me to know before your child's appointment?
*
Please use this section to provide additional information. If you have selected 'other' for any question above, please also include details here.
How did you hear about The Tressing Room
*
Examples: Facebook, Instagram, Tiktok, Refferal, etc.. For referrals, include the name of the parent or child that referred you so we may thank them.
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