Wax Intake Form

Wax Intake Form

If you have previously filled this form out you do not need to submit another.
Name*

First NameLast Name
Email*
example@example.com
Birthday (Month & Day)*
Instagram Handle*
You'll be added to Instagram close friends list that will include information posted for clients only. If you wish to opt out type "NA"
Have you ever been waxed before?*

YesNo
If you answered yes, was Hard Wax or Soft Wax used?

Hard WaxSoft Wax (removed with a fabric like strip)Unsure
Have you experienced any of the following (check all that apply):*

Ingrown HairsScarringBumpsHyperpigmentationBruisingNoneOther
Are you currently using any products that contain (if you select any, please discontinue the use for a minimum of 3-5 days prior to your appointment):*

AHA (glycolic acid, lactic acid, mandelic acid etc)BHA (salicylic acid)Vitamin A derivatives (Retinol/Retonids)Exfoliating scrubs or peelsNone
Any known allergies?*

NoYes, please list them in "Other" belowOther
Are you on any medication? If so, list below.
Do you currently have any rashes, sunburns, itching, broken skin, redness etc in the area to be waxed? If yes, continue to fill out the form and submit. I will contact you directly to ensure it is safe to be waxed at this time.

YesNo
Permission to Produce Content
Do you allow Sonrisa Beauty Studio to film and/or photograph content to use for marketing purposes on social media accounts, marketing materials, websites etc?*

YesYes, however I would like any identifying features to be hiddenNo, I'd like no photos or videos taken during my service
Acknowledgement and Waiver

Please note that waxing may cause bruises, redness, scarring, skin lifting/tearing, hyperpigmentation etc.

Through no fault of my esthetician, waxing may make me more vulnerable to contracting Folliculitis which is a common skin condition in which hair follicles become inflamed. Severe infections can cause permanent hair loss and scarring. Mild cases will likely clear in a few days with basic self-care measure.

I understand that I should keep the area free of all products for 24 hours post-wax and will follow aftercare instructions that can minimize or eliminate possible negative reactions.

I hereby release, discharge and waive any and all claims against Sonrisa Beauty Studio and each of their partners, employees, representatives or any person(s) performing services or applying any products at Sonrisa Beauty Studio, including from liability and responsibility for any and all illnesses, allergies, injuries, damages, claims, rights and causes of action of any kind or nature, that may occur during or arising out of any services or products received on this and any future dates. I expressly assume and accept the risk for any injuries sustained. I have read this entire document and agree to its terms.

I have read, understood and agree to all of the above and consent to the service that I am scheduling an appointment for.
Please sign below by typing your First & Last Name *
Prepare for your appointment + Aftercare instructions can be found using the link below.

Click here to view Pre-Wax & Post-Wax Aftercare Instructions
Should be Empty:

Wax Intake Form

Permission to Produce Content