Lilac Sugaring New Client Consultation Form

First & Last Name*
Preferred Name/Nickname
Prefered Pronouns
Phone*

Area CodePhone Number
Email*
example@example.com
Birthday*
How did you find Lilac Sugaring? (Referred? Include name)*
Have you had this service done in the past?*

YesNo
When was your last hair removal? (e.g. Shaving, waxing, sugaring, etc.)*
Have you experienced any of the following in the previous 72hrs?*

Sunburn/TanningChemical PeelSkin Rash/ReactionRetinol/Vitamin-A useLaser TreatmentsFacial Treatment/ServicesNone of the above
Do any of the following apply to you?*

EczemaPsoriasisPregnantSensitive SkinRetinol/Retin-A/Vitamin-A UseAcne Medication (if yes, please list under "Other" below)None of the aboveOther
Do you have any allergies? If yes, please list*
Do you moisturize your skin regularly?

YesNo
If yes, what do you use?
Do you exfoliate your skin regularly?

YesNo
If yes, what do you use?
Media Consent/Release: If photos/videos are taken during the service, does Lilac Sugaring have your consent to share those photos online for education & marketing purposes? Common services where photos are taken: Lash Lifts, Brow Shaping, Threading services, Leg/Underarm sugaring services.*

YesNo
FACIAL SERVICES NOTE: We cannot perform services on the skin directly after EXTENSIVE SUN/UV EXPOSURE, CHEMICAL PEELS, MICRODERMABRASION, OR RETINOL/USE. Failure to report these activities and contraindications may result in damaged skin at no fault to your service provider.
Cancellation Policy - Please Read Carefully & Initial

At Lilac Sugaring. we understand that special circumstances are unavoidable and a cancellation may be necessary. If you find yourself unable to honor your appointment, we request AT LEAST 24HOUR NOTICE. All cancellations must be done online through LilacSugaring.com or Square, 24hr prior to your appointment start time. Cancellations through social media, email, or text will not be valid unless accepted by Jess (Owner). Clients who do not honor their appointments may be charged a cancellation fee as follows: Notice to cancel within 24hr of appointment will result in a 50% charge of the services scheduled. ZERO notice (No-show/no-call) will result in a 100% fee of the services scheduled. If there is not a valid credit card on file, you will receive an invoice regarding the fees being charged. You will not be welcome back at Lilac Sugaring until that invoice is paid in-full or the situation has been resolved by Jess (Owner). Out of respect for all of our clients, guests arriving more than 15 minutes late to their appointment may be asked to reschedule and may be expected to pay for the time they reserved. When possible, we will do our best to alter your services so that we can offer you an appointment upon your arrival, however, some services/situations do not have the ability to do so. Please plan accordingly to respect your service provider & avoid tardiness.
I have read & understand Lilac Sugaring's Cancellation Policy.
Initial here:Your Initials*
Please read carefully & sign below:

I have answered each question above honestly and to the best of my ability. I have disclosed all information that may be pertinent to both the quality of treatment and post-care. I understand that I will be provided with advice from a certified & licensed technician. If these instructions are followed closely, I should experience a safe and enjoyable service. I understand that LILAC SUGARING is not responsible for reactions caused by other products used by the client or for reactions caused as a result of incorrect information given above.
Signature*

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Lilac Sugaring | 2281 NW Hoyt St, PDX, OR | (503) 893-5822 | LilacSugaring@gmail.com | LilacSugaring.com | @LilacSugaring
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