Intake Form - The Tressing Room

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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.

Parent/Guardian Information

Parent/Guardian Name *

First

Last

Parent Phone Number *

Parent's Email Address *

Home Address *

Address Line 1

Address Line 2

City

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

to have future

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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Exact studio address provided to confirmed clients only.