Client Intake Form for Body Sugaring

Full Name

First NameLast Name

Age

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Person

First NameLast Name

Contact person phone number

Please enter a valid phone number.Format: (000) 000-0000.

Have you ever had body sugaring or waxing before?

Have you shaved within 10 days of your appointment

Are you taking any of the following

If yes, which specific product did you use and when was the last time you used it?

Do you have any allergies, skin sensitivities, or medical conditions we should be aware of?

Are you currently taking any medications that may affect your skin (e.g., Accutane, Retin-A, antibiotics)?

If yes, please list the medications:

I consent to have pictures taken of me, and to allow the photos to be used for BarebyOre Studio media and marketing purposes

Do you have any open wounds, rashes, or infections in the areas to be sugared?

Is there anything else you would like us to know or any concerns you have?

I confirm that the information provided in this form is accurate and complete to the best of my knowledge. I understand that it is my responsibility to inform my Sugarist of any current or new medications, medical conditions, skin sensitivities, allergies, or changes in health that may affect my sugaring treatment.

I acknowledge that certain factors may influence the safety and outcome of sugaring services, including but not limited to: prescription or over-the-counter medications (such as Retin-A, antibiotics, blood thinners, steroids, acne treatments, or blood pressure medications), hormonal changes (including those related to the menstrual cycle), recent exfoliation, sun exposure, dehydration, compromised or irritated skin, and recent caffeine or alcohol consumption.

I understand that while all reasonable professional care and precautions will be taken, temporary side effects such as redness, sensitivity, minor bruising, irritation, or skin lifting may occur.

By signing below, I authorize Bare by Ore Studio to perform sugaring services and acknowledge that I assume responsibility for any adverse reactions that may result from undisclosed or inaccurate health information.

Client's signature