Comfort form

This is our parent and guardian intake for sensory-friendly appointments. Nothing here is a dealbreaker; it just means your stylist is ready before you walk in. Skip anything that doesn't apply, and if you're an adult booking for yourself, answer for yourself.

This is a private client record for the shop. After each visit your stylist keeps progress notes so the next one builds on what worked. When you're done here, you'll get a link to book your time on Squire. If you've already booked, that's fine too.

Client information

Child / client name

Preferred name

Date of birth

Age

Parent / guardian

If you're an adult filling this out about yourself, put your own name here.

Phone

Preferred communication

Text Phone Email

About your child Communication style Best way for your stylist to communicate with your child Diagnosis, disability, developmental difference, or other needs you'd like us to know about (optional)

Haircut history Has your child had a haircut before?

Yes No

Previous haircut experiences went…

Very well Mostly well Mixed Difficult

Anything important about previous experiences

Possible haircut challenges

Tap everything that applies.

Other challenges or triggers Signs of overwhelm or discomfort

What does your child do when they're becoming uncomfortable or overwhelmed?

What helps

Tap everything that works. Bring any of it with you.

Favorite characters, shows, songs, toys, interests, or conversation topics

Haircut tolerance and preferences Any known preferences or limits What would make the appointment feel successful to you?

Acknowledgment Parent / guardian name (as your signature)