Honeybee Beauty Waxing Consent Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
Have you used any Alpha Hydroxy Acids (AHA) or glycolic products in the past 48-72 hours?
*
Yes
No
Have you used Retinol, Renova, or Accutane within the past year?
*
Yes
No
When?
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Month
-
Day
Year
Date
Are you using any other skin thinning products and/or drugs?
*
Yes
No
Do you use tanning beds and/or are exposed to the sun on a regular basis?
*
Yes
No
Have you been treated for cancer within the last 6 months? If yes, when and what types of therapies were used?
*
Please list any illness/conditions which you are currently being treated for by a medical professional.
*
Do you have any open skin lesions in the area that will be getting waxed?
*
Yes
No
Do you have any allergies?
*
Yes
No
Other
Please list your allergies
I grant permission to Honeybee Beauty to use my before and after photos for marketing or examples of my technicians work.
*
Yes
No
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 an accurate account of the questions and if I have any concerns, I will address these with Bailee Alvarado of Honeybee Beauty. I give permission to Bailee to perform the waxing procedure we have discussed and will release her 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 services; no swimming/spas/hot tubs for 72 hours after waxing; and all home skin care protocols as recommended by my service provider. I understand that my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.
*
l acknowledge and understand that Honeybee Beauty doesn't offer refunds. Bailee Alvarado will do her best to provide a service experience to meet your satisfaction and expectations every appointment. If any issues do occur contact Bailee 24-48 Hours after service to have anything fixed.
*
I acknowledge Bailee Alvarado puts in her full effort to fulfill my appointment times and I respectfully acknowledge the times I schedule to be available.The following CANCELLATION policies that are also non-refundable agreements of service. You have a 10 minute grace period to your appointment, after10 minutes pass your appointment will be canceled and you will be charged 50% of the service total. If you no call / no show your appointment, 100% of your total service amount will be charged to the card on file. Second no show offense, you will be charged the full appointment amount and will no longer be allowed to book with Honeybee Beauty.While things may happen, I advise appropriately booking.I agree to have a card stored on file securely in Gloss Genius.
Thank you for giving Honeybee Beauty the time to get to know YOU & signing the Consent form, its much appreciated towards your experience!
Date
*
-
Month
-
Day
Year
Date
Signature
*
Submit
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