Waxing Consent Form

Waxing Consent Form
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
DOB*

MonthDayYear
Date
Address *
Have you been waxed before?*

YesNo
Have you recently tanned?*

YesNo

Please read and double-check everything. Risks to be aware of, as well as further information.*

	Check Status
I understand that any blood thinners, alpha hydroxy/glycolic acids, Retin A, or Accutane are contraindicated and may induce skin lifting. It is not advisable to have my hair removed. This should be avoided for at least two weeks before hair removal.
I understand that waxing is not recommended if I have uncontrolled diabetes, open wounds, sunburn, or varicose veins.
I understand that waxing can cause brusing, ingrown hair, skin irritation, redness, and inflammation.
I understand that it is my responsibility to inform my Esthetician if I have any medical conditions now or in the future.
I give my Esthetician permission to undertake the waxing hair removal we discussed, and I agree to hold her harmless and nameless from any liability that may arise as a result of treatment.
I accept that I shall consult my Esthetician if I have any issues about the treatment.
I understand that if at any point if my Esthetician feels uncomfortable due to my actions I will leave immediately whether service is completed or not and a police report may be made.
I understand that my Esthetician is a professional in a professional business setting.

CLIENT RESPONSIBILITY:

Please maintain the same level of hygiene as you would for a doctor's visit. Having clean, dirt/debris-free skin and hair. If adequate hygiene is not followed, the esthetician has the authority to refuse service and full payment will be required.

This service may also necessitates your participation in skin tightening. To both provide a more comfortable treatment and make hair removal easier.

LATE POLICY:

If you arrive more than 10 minutes late for your appointment, it may be cancelled (anf recorded as a no show) and you may will be charged a fee (70% of total service price) or your appointment time may be reduced (meaning you won't get a complete wax.)

CANCELLATIONS:

When at least 48 hours notice is given, appointment can be canceled or rescheduled without charge. There will be a charge if an appointment is canceled or rescheduled with less than 48 hours notice.

IMPORTANT:

Please be advised that our Brazilian/Manzilian services adhere to the highest standards of professionalism and respect. Any comments, actions, or insinuations of a sexual nature will not be tolerated and will result in immediate refusal of service. We expect all clients to conduct themselves appropriately and respectfully during any interactions. Our commitment is to provide a safe and respectful environment for both our esthetician and clients. Thank you for your understanding and cooperation.
By initiating below I have read and understand the above statements.*
Media Release

Please keep in mind that if the esthetician asks for before and after photographs that they are for educational and marketing purposes only. Your identity is kept confidential. IF you consent, then the esthetician holds all rights and ownership to the photos and recordings.
Do you agree to be photographed or videotaped before, during, and after treatment? (back, chest, underarms, pubic area for manzilian or a combination depending on service(s)*

YesNo
Are you under 18 age?*

YesNo
A copy of the front of your ID/Drivers License is required. You may blur out your ID/Driver's License number. Your face, name and D.O.B must be visible. This is kept on file and secure. This is to ensure that the esthetician is safe at all times.*

Cancelof
I have reviewed the information provided above, and I will address any concerns directly with the esthetician. I grant permission for my esthetician to perform the waxing services we have discussed, and I release her from any liability that may arise from this treatment. I affirm that I have accurately disclosed all relevant information, including known allergies and any prescription medications or topical products I am currently using.

I understand that my esthetician will take all necessary precautions to minimize the risk of an adverse reactions. I have read and comprehend the post-treatment care instructions, and I am committed to following the recommendations provided by my esthetician for a home care regimen designed to minimize or eliminate potential negative reactions. Should I have any further questions or concerns regarding my services or suggested home care products, I will consult with the esthetician promptly.

By signing below, I acknowledge that this document constitutes full disclosure and supersedes any prior verbal or written agreements. I certify that I have read and fully understand the statements above and that I have had ample opportunity to discuss and clarify any questions I had. Furthermore, I understand the nature of the services being provided and accept the associated risks. I do not hold the esthetician, whose name appears below, responsible for any conditions that were present but not disclosed at the time of the waxing service. I affirm that I have answered all questions truthfully and to the best of my knowledge.
Your Signature*

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Date*

MonthDayYear
Date
Esthetician

Crystal Vargas
Should be Empty:

Waxing Consent Form

Media Release