Waxing Consent Form

Waxing Consent Form
Client Name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please take a moment to answer the following questions
Have you used any Alpha Hydroxy Acid (AHA) or glycolic products in the past 48-72 hours?*

YesNo
Are you using Retin-a, Renova or Accutane (an oral form of Retin-a)?*

YesNo
Are you using any other skin thinning products and/or drugs?*

YesNo
Are you exposed to sun and/or using tanning beds on a regular basis?*

YesNo
Are you currently taking medications? If so, please list.*
Do you have any allergies? If so, please list.
Please list any other illness/condition you are currently being treated for by a medical professional
Please note that waxing can have certain side effects such as skin removal, redness, swelling, tenderness, etc.

I have read the above information and have given accurate account of the questions and if I have any concerns, I will address these with my Wax Artist. I give permission to my Wax Artist to perform the waxing service we have discussed and will hold her harmless from any liability that may result from this treatment. I agree to adhere to all safety post care including: no peels, tanning, or wet room activity; no swimming/spas/hot tubs for 24 hours after waxing; and all home skin care protocals recommended by my service provider.

I understand that my Wax Artist will take every precaution to minimize or eliminate negative reactions as much as possible.
No Refund Policy

Thank you for choosing Magnify Lashes & Beauty! Please be aware that we do not offer refunds of any kind. If there is an issue with your lash set, please let your service provider know at the time of service or contact us within 24 hours of your appointment. We are happy to address any concerns and make necessary adjustments within that timeframe.Any concerns raised after 24 hours may require a new appointment and will be subject to standard service charges.Thank you for your understanding and continued support!
Client Signature
Date

MonthDayYear
Date
Should be Empty:

Waxing Consent Form

No Refund Policy