• WAXING INTAKE & WAIVER

  • DEFINITION

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  • How did you hear about us? (Check one)

  • Do you have vericose veins on your legs?

    Do you use Glycolic Acid. Salicylic Acid.

    Lactic Acid or any other acid- based

  • products on your face or body?

    Have you had recent microdermabrasion.

    laser resurfacing or injectable fillers?

    Are you taking acne medication or

    Have you or will you be in the sun or

    tanning bed within 24 hours of this

    By signing below. I understand that topical creams, medical conditions. and certain medications can affect the results of waxing. I understand that I can not be waxed if I have certain contraindications and I hereby release the technician and the company in which I am voluntarily seeking services from harmless from and waive on behalf of myself. my heirs. and any personal representatives any and all causes of action. claims. demands. damages. costs. expenses. and compensation for damages or loss to myself and/or property that may be caused by any act. or misinformation both intentional or accidentally on this form as well as failure to follow post-care instructions after my service. Consent of a parent/legal guardian: as self/parent/legal guardian of the above named patient. a minor, hereby

    consent and authorize treatment and have no further questions regarding this procedure.

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  • Signature Professional Signature

  • Clear
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  • Should be Empty:
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