K Tip Agreement Name * First Name Last Name Email * Phone (###) ### #### Is your hair relaxed, permed or highlighted? * Are you on any medications? Any medications that may cause hair loss? * Have you had surgery in the last six months? * What products do you use at home? * What are your hobbies, exercise, and getting ready routines? Do you heat style at home? * I have submitted my retainer * Yes I understand it is my responsibility to follow all care instructions * Yes I understand that I am having extensions installed by Lux Strands. I agree not to have any services, adjustments or removal of extensions done by any stylist notemployed by Lux Strands. I agree to book appointment for removal, color retouch and re-installation of extensions at the appropriate dates to protect the health of my hair. If you cannot, for any reason, commit to the upkeep of the service, the extensions will need to be removed by a Lux Strands stylist. * Yes Sign Name * Date MM DD YYYY Thank you!