Sugaring Consent Form

Sugaring Consent Form

Please fill out the following form prior to your sugaring appointment.
Client's Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Are you currently using Retin-A, Renova, or Accutane? Retinol based products are a contraindication for facial sugaring & Accutane is a contraindication for all sugaring services*
Have you been waxed or sugared before? *
Are you planning on taking a vacation/spending more time in the sun exposing the areas being sugared today?*
Are you pregnant, planning on conceiving or under 6 months postpartum?
Are you diabetic? (Diabetes can make your skin more sensitive to hair removal)*
Are you taking any medication that affects the sensitivity of your skin? (i.e. blood thinners or antibiotics)*
Have you ever been treated for cancer? (Chemotherapy may make your skin sensitive to hair removal)*
Have you received laser hair removal or IPL treatments on the area being sugared in the last 6 months?
Please list any allergies that you currently have to skincare products or foods (most of our products are naturally derived)
Please list any other illness or condition you are currently being treated for by a medical professional that may be a factor during your appointment today
By checking this box, I agree to the policy agreement listed above.*

I agree
Please note that sugaring may have certain side effects such as slight irritation, redness or sensitivity for 24-48 hours post-service. I'm aware that these effects are possible and if I have any concerns, I will consult with my esthetician. By siging this form you have confirmed that you've given an accurate description of the state of your skin & consent to be sugared at SILK sugar + skin.
Should be Empty: