Membership Application

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Please enter a valid phone number.

Pronouns *

She/her, He/his, They/theirs, etc.

What is your birthdate? *

Date

Address (Please use a viable mailing address) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

What is your T-shirt size? Please pick two options. *

XS S M L XL XXL Other

Do you currently know someone who is a member? *

Yes No

If yes, please list their name

Existing members will receive credits for referring you.

What is your primary reason for wanting to become a member? *

Which membership are you interested in? *

Snatch Gang (waxing only) Glow Gang (facials only) Diamond Glow (waxing + facials)

Do you prefer to pay monthly or annually? *

Monthly Annually

Do you currently have any of the following skin conditions? Check all that may apply. *

If other, please explain

Please upload clear photos of your skin. You may upload up to 3 photos. *

What are your top 3 skin care and/or hair removal (waxing/sugaring) goals? *

When would you like your membership to start? *

Date

I First Name Last Name have completed this membership application to the best of my knowledge after reading the full membership terms and conditions available at www.fairyglowmother.com/members-only. I understand that this membership application does not automatically guarantee a membership to the studio and that I have provided this information for review purposes only. If my application is accepted, I understand I must submit my payment information within 7 days of receiving my acceptance via the secure payment portal link that will be sent via the email address provided on this application.

I First Name Last Name understand that all monthly memberships have a 6-month minimum commitment and annual memberships have a one-year minimum commitment. I acknowledge that there are no refunds for memberships and that there is a $150 early termination fee for all membership levels.

By signing below, I am acknowledging that I have read an understand all conditions of membership detailed at www.fairyglowmother.com/members-only.

Signature *

Clear