Client Wax Intake & Consent Form

Full Name

Date

Date of Birth

Date

Phone

Format: (000) 000-0000.

Do you have skin sensitivity or allergies? if yes, please specify:

Yes

Have you used any Alpha Hydroxy Acid (AHA), Glycolic Acid, Retinol, or exfoliating products within the last 48–72 hours?

Please list ALL medications (oral or topical) you are currently using (including Accutane, Retin-A, antibiotics, etc.):

Are you currently Pregnant?

PHOTO & VIDEO CONSENT

Please check any of the following conditions that apply to you

Other please specify

I agree to all policies

SERVICE CONSENT

I understand that waxing services may include the removal of hair from sensitive and intimate areas, including bikini and Brazilian areas. I voluntarily consent to these services and understand that proper draping and professional standards will be maintained at all times.

⸻

⚠️ ACKNOWLEDGMENT OF RISKS

I understand that waxing may cause temporary side effects including but not limited to:

• Redness

• Swelling

• Tenderness

• Skin sensitivity

• Ingrown hairs

• Breakouts

• Hyperpigmentation

• Skin lifting or irritation

I understand that these risks may increase if I am using certain medications or skincare products.

⸻

MEDICAL DISCLOSURE AGREEMENT

I confirm that I have fully disclosed ALL medical conditions, medications, and skincare products I am currently using. I understand that failure to disclose this information may result in adverse reactions, and I accept full responsibility.

⸻

AFTERCARE AGREEMENT

I understand that I will receive aftercare instructions and agree to follow them.

I understand that failure to follow proper aftercare may result in:

• Irritation

• Ingrown hairs

• Breakouts

• Infection

• Skin damage

I release BeauteWaxingStudio from any liability if I fail to follow proper aftercare instructions.

⸻

🩸 MENSTRUAL CYCLE CONSENT

I understand that I may receive waxing services while on my menstrual cycle with proper hygiene (tampon required). I acknowledge that my skin may be more sensitive during this time.

⸻

SALON POLICIES AGREEMENT

I acknowledge and agree to the following:

• 5-minute grace period for all appointments

• Arrivals past 10 minutes may result in cancellation or shortened service

• No-shows will be charged 100% of the service fee

• Deposits are non-refundable

• 24-hour notice is required for cancellations or rescheduling

I understand these policies are in place to respect the technician’s time and business.

I agree to all policies

⸻

LIABILITY WAIVER

I voluntarily consent to waxing services provided by BeauteWaxingStudio.

I release and hold harmless BeauteWaxingStudio and its staff from any liability, claims, or damages that may arise from this service.

I understand that results may vary and multiple sessions may be required for desired results.

If I experience any unusual reactions, I agree to contact my technician and seek medical care at my own expense.

⸻

CLIENT AGREEMENT

I certify that I have read and fully understand this consent form. I confirm that all information provided is accurate and truthful.

I agree to follow all pre-care and aftercare instructions and understand the risks involved with waxing services.

I acknowledge that I am voluntarily receiving this service at my own risk.

This agreement will remain valid for all future services unless updated.

Clients Signature

Date

BeauteWaxingStudio – Client Intake & Consent Form

WAXING