• Clover Beauty LLC

    Treatment Consent

  • Waxing Consent

    Please initial to indicate your acknowledgment

  • For best results, hair should be at least 1/4 in. long or the length of a grain of rice. If hair is shorter than the recommeded length your wax will not last as long and you will not recieve the best results possible.

  • I have given an accurate account of any over the counter or prescription medications that may interfere with my waxing service, such as Accutane, Retin-A, Differin, Renova, blood thinners, high antibiotic use, retinol and alpha-hydroxy products*
  • I have not gone tanning within the last 72 hrs*
  • I have not had any previous issues with waxing in the past*
  • I understand that lifting of the skin or skin irritations is a possibility due to waxing*

  • By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive waxing services from my esthetician/Clover Beauty LLC. I understand that this agreement is binding and will remain in effect for all immediate and future services/procedures received at Clover Beauty LLC. I certify that I have read and understand this entire consent form and I and agree to the information provided in this form. I certify that I am at least 18 years of age and give my consent to treatment. The treatments I receive here are voluntary and I release Clover Beauty LLC and/or the esthetician from liability and assume full responsibility thereof.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: