Membership Application

Membership Application

This application does NOT serve as an accepted membership to the studio. You will receive an email requesting payment details once accepted. Click the link at the bottom of this page to complete the application/put your card on file.
Name*

First NameLast 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?*

MonthDayYear
Date
Address (Please use a viable mailing address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your T-shirt size? Please pick two options.*

XSSMLXLXXLOther
Do you currently know someone who is a member?*

YesNo
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?*

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

AcneRosaceaEczemaDermatitisMelasmaSebhorreic DermatitisHerpes/ShinglesPseudofolliculitis Barbae/Razor BumpsIngrown hairsHyperpigmentationRednessSensitivityNoneOther
If other, please explain
Please upload clear photos of your skin. You may upload up to 3 photos.*

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What are your top 3 skin care and/or hair removal (waxing/sugaring) goals?*
When would you like your membership to start?*

MonthDayYear
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
IMPORTANT: To complete your application, please "book" the New Member Sign Up appointment here. This is not a real appointment you have to physically be present for but this places your information on file so that we can get your membership started.
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