Waxing Consent Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Area CodePhone Number

What service are you wanting to get?*

Wax ServiceBikini TreatmentFacialDermaplaning

18 yrs of age or older?*

YesNo

Have you used any Alpha Hydroxy Acids (AHA) or glycolic products in the past 48-72 hours? If yes, please discontinue use for at least 7 days*

YesNo

Have you used Retin-A, Renova, or Accutane within the past year? If so, when?*

Are you currently getting laser hair removal?*

YesNo

Are you using any other skin thinning products and/or medicines that thin the blood?*

YesNo

Do you use tanning beds and/or are exposed to the sun on a regular basis?*

YesNo

Are you currently taking any medications? If so, please list.*

Do you have any open skin lesions?

YesNo

Do you have any allergies? If so, please list.

How did you hear about So Bare Skin

I am 18 years old or older and give consent for photos/videos of services to be taken and posted on all social media platforms associated with So Bare Skin for marketing purposes only.

yesno

Please note that all services can have certain side effects such as skin lifting, redness, swelling, tenderness, etc. I have read the above information and have given an accurate account of the questions and if I have any concerns, I will address these with my Esthetician. I give permission to my Esthetician to perform the procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I agree to adhere to all safety post care including: no peels, tanning, or wet room services; no swimming/spas/hot tubs for up to 48 hours; and all home skin care protocols as recommended by my service provider. I understand that my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.

Anyone client under the age of 18 will need the permission of a parent or gradian.

Cancelation and late Poilcy

By signing below, I understand that there is 10 minute grace period. After that, I will be asked to reschedule. I understand that appointments should be canceled or rescheduled at least 2-24 hours ahead. No-shows will be charged a non-refundable fee of $20.

Signature

Parent/Gradian Signature

Date?