• Current Health Conditions: (Please select below)*
  • Do you have any allergies?*
  • Are you currently taking any medications?*
  • Are you pregnant?*
  • Are you wearing gloves if you clean the house, do the gardening, or washing dishes?*
  • Have you ever had services done at a home based business?*
  • Nail condition*
  • Cuticle condition*
  • Are you preparing for a special occasion?*
  • Have you ever had a bad experience at a nail salon?*

  • By signing below, I confirm that all information I entered in this form is accurate and true and answered all medical and health related questions truthfully and completely. Your signature certifies that you understand that the service provider reserves the right to deny service to any client due to a health condition he or she has that may pose a potential risk to the practitioner or other clients; including those that pose a risk of potential contamination to service areas. Furthermore, signing below verifies that you understand that you are responsible for informing the service provider of ANY and ALL changes to your health condition as regards any question on this form or any potential public health risk that may arise from any change in your health condition.


    I agree for any photos taken during and after the treatment to be used for marketing purposes.


    By signing below, I agree to all salon policies

  • Con Amor Beauty Studio Policies

  • Date Signed*
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