GENERAL LIABILITY WAIVER FORM
REQUIRED FOR ALL: LASH SERVICES - BODY WAXING - FACIALS- HENNA BROW or ENHANCEMENTS - LAMINATIONS & MICROBLADING SERVICES
THIS FORM MUST BE COMPLETED PRIOR TO SERVICE
* WAIVERS NOT REQUIRED FOR THREADING ONLY SERVICES **FACE MASKS ARE OPTIONAL- IF NEEDED AVAILABLE AT NO CHARGE
THIS FORM SERVES AS A WAIVER
FOR WAXING, LASH LIFT, BROW HENNA, BROW LAMINATION, EYELASH EXTENSION AND FACIALS. CLIENTS: PLEASE READ OUR COMPLETE WAIVER FORMS AND TERMS AND CONDITIONS (push back button) FOR SERVICES YOU REQUEST BEFORE SIGNING. https://myperfectbrows.com/covid-19-updates
Name
*
Najla
Ekhlas
Phone Number
*
Email
*
example@example.com
Date of Service(s)
Preferred studio
*
CITY OF ORANGE (3130 E. Chapman Ave)
LONG BEACH (203 Argonne Ave)
SAN JUAN CAPISTRANO (27221 Ortega Hwy)
LOS ANGELES (5115 Wilshire Blvd)
Select service(s) below.
*
+Threading (any region)
*Face Wax (any region)
*Lip Wax
*Full Body Wax
*Brazilian Wax
*Arm Wax
*Leg Wax
*Wax of Body (other)
*Lash Lift
*Lash Extensions
*Henna Brows / Brow Tinting
*Brow Lamination
*Microblading
*Facial Services
*Facial Peel
CHOOSE A LOCATION BELOW
Because of capacity limits and to ensure the safety of all guests we are inviting you to reserve a 30 min window for your appointment.
ORANGE LOCATION Preferred 30 minute window time slot.
LONG BEACH LOCATION Preferred 30 minute time slot.
SAN JUAN CAPISTRANO LOCATION Preferred 30 minute time slot.
LOS ANGELES LOCATION Preferred 30 minute time slot.
Are you experiencing any of the following symptoms?
*
FEVER
COUGH
SHORTNESS OF BREATH
CHEST OR BODY PAINS
NONE
In the last 21 days have you been in contact, infected, suspected, or diagnosed with Covid-19?
*
YES
NO
Parent/Guardian Name (if applicable)
First Name
Last Name
Client or Parent (Guardian) Signature
*
BY HITTING SUBMIT I AGREE TO ALL TERMS AND CONDITIONS
FULL WAIVER TERMS AND CONDITIONS CAN BE SEEN BY HITTING THE BACK BUTTON ON YOUR BROWSER NOW or by CLICKING the “terms&conditions link above. .
PROMO CODE (if applicable)
Submit
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