Client Information ~ Sugaring

Date*

MonthDayYear

Name*

First NameLast Name

Birthday (Month & Day, for Birthday specials)

MonthDayYear

Phone Number*

Area CodePhone Number

Email*

example@example.com

Reason for your visit*

How did you hear about Your Body's ReTreat?*

Would you like to receive news and special offers from Your Body's ReTreat?*

EmailText/SMS (You must opt in yourself, please text the word JOIN to 1-844-842-8667None

When sugaring classes are taught, models are needed. Would you like to be notified when we need models? Services provided by students are complimentary.

YesNo

This intake form is used to evaluate your individual service needs. We will maintain the confidentiality of this information, and will disclose this information only: (i) to our staff members, (ii) to our product supplier and manufacturer. We will not provide this information to anyone else, except as required by law, and we will not sell this information to anyone.

It is important to read and understand the following information. Please initial next to each statement or paragraph that you have read and understand. Please ask your practitioner should you have any questions.

Do you have tendencies to*

Ingrown Hair/BumpsHyperpigmentation/ScarringBruisingNone

Currently using or taking any form of Vitamin A, Accutane, Retin-A, Renova, Tretinoin, Alpha Hydroxy Acids/glycolic products ARE SKIN THINNING and CONTRAINDICATED for hair removal. This means your skin may lift if you are taking an oral form or using as a topical on your skin. I am NOT taking oral or topical skin-thinning medications nor have I undergone any procedure that would cause skin-lifting.*

Having recently received any facial skin treatment such as a chemical peel, microdermabrasion, or IPL is contraindicated for facial sugaring. I acknowledge this and attest that I have not had any treatment that would be contraindicated for sugaring. Please initial*

If one carries the Herpes virus, it is possible to have an outbreak after a hair removal session. It is also possible for a person to be positive for the anti-bodies of Herpes/carry Herpes, without any physical symptoms or having a medical diagnosis confirmed but experience an outbreak after a hair removal session. Herpes cannot be given to clients by hair removal methods. This is important to understand, especially if you have an important event you are preparing for.*

There are 3 stages of hair growth with hair growing at different intervals (growing/resting/shedding). During hair removal sessions, it is typical to remove hair from each stage. This means hair will grow back slowly between a 10 - 45 day period. Perfect hair removal is when all the hair is removed by the root. This is made possible when the hair is long enough. Tweezing and shaving interrupts this from happening. Some hair breakage is normal. Exfoliation, internal hydration, and moisturizing will help prevent hair breakage and ingrown hairs. Caffeine and alcohol are super dehydrators for the skin, meaning the skin will hold on to the root causing excessive hair breakage. Avoiding those beverages for several days prior to hair removal will give you the most optimal results and also be less painful.*

AFTER your hair removal session, please keep the area clean and dry. Wear clean, loose clothing. For a minimum of 24 hours: No saunas, no whirlpools, no swimming, no tanning or sun exposure, no fragrances/perfumes/dyes, no heavy oils or lotions including body washes containing oils. Please be mindful that your follicles are open and anything that comes into contact with your skin may cause irritation or breakouts. Use a mechanical exfoliation product such as an exfoliating washcloth or body brush once a week to assist with ingrown hair. Water or aloe based moisturizers are recommended as well.*

Being exposed to the sun on a daily basis or soon after sugaring can result in hyperpigmentation of the skin. I understand using SPF will help. Avoiding sun exposure after sugaring is best.*

All services provided are rendered professionally. No service should ever be confused with anything sexual or sensual and will not request such service at any time. I agree to respect professional and ethical boundaries.*

Yes, I understand and agree.

I am aware of ALL policies including the cancellation policy: CANCELLATIONS OR RESCHEDULING POLICY: Should you need to cancel or reschedule your appointment, please note the following policy: A 12-hour notice is required for any single service appointment. A 24-hour notice is required for any packages or multiple services. CANCELLATION OR RESCHEDULING FEES: All appointments not cancelled or rescheduled within the time frame specified above will be assessed a fee of 50% of the scheduled service. Any No-Shows will be assessed a fee equal to the full value of the service cost.*

By signing below I certify that:

I have not had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days.
I have not experienced any cold or flu-like symptoms within the last 14 days, including but not limited to shortness of breath or difficulty breathing, cough, fever, sore throat or any respiratory illness.
I have not traveled outside of the United States or outside of my state of residence in the past 14 days.
I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures.
I have read and fully understand the above paragraphs and I understand the services being rendered and accept the risks.
I have read the policies, understand, and agree to the policies found here.

Date*

Date

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