It is my choice to receive waxing. I understand that the information given above is strictly confidential and will be used for no other purpose than to assist the service provider customizing my waxing experience. I also understand that failure on my part to disclose information could result in injury and/or illness, and I hereby release Celebrity Skin Chicago from any claims resulting from such. Any information provided to me by the service provider is for general educational purposes only and is not intended for any medical or therapeutic purpose.
My signature below indicates that I have stated any medications that I am taking. I understand it is my responsibility to update the service provider if any of the above information has changed.