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Guest Name:

Adult Minor

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First Guest Name

First Name*

Last Name*

Phone*

First Guest Date of Birth*

First Guest Signature*

Type Signature

Draw Signature

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Address

Address Line 1:

Street address, P.O. box, company name, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:

City:

State/Province:

Zip/Postal:

Parent or Guardian's Email Address

Email*

A signed copy of this waiver will be sent to the email address you provide.

Please select if any of the following apply to you:

How did you hear about us?

If a referral, please state their name so they can get credit! *

If you are signing for a minor, please include their info below:

Full Name

Date of Birth

Please review and agree:

I understand and agree the following are true: I, and those in my household do not currently have and have not recently experienced any COVID-19 related symptoms (fever, chills, shortness of breath, sore throat, loss of taste/smell) during the last two weeks, been diagnosed with COVID-19 within the last 30 days, or been exposed to anyone with COVID-19 within the last 30 days. I understand and agree that Salt Wax and its team member cannot be held liable for any exposure to COVID-19 and come by choice to receive services. I agree to follow the COVID safety requirements including wearing a mask, sanitizing hands upon entry, contact-free check outs where possible, not bringing any guests to my appointment, and arriving no more than a couple minutes before my appointment time. By submitting, I agree to all statements and release Salt Wax from any and all liability for any unintentional exposure to COVID-19. *

I agree

I have not withheld any information that may be relevant to my treatment and the results thereof. I am aware that there are often inherent risks associated with waxing procedures and that the services I am about to receive could have unfavorable results including but not limited to: allergic reactions, irritation, burning, redness, scarring, soreness, etc. By signing below, I further agree that I will not hold Salt Wax Society, or my esthetician responsible should there be any unfavorable outcome or result. *

I agree

Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.

Parent or Guardian's Name

First Name*

Last Name*

Phone*

Parent or Guardian's Date of Birth*

Parent or Guardian's Signature*

Type Signature

Draw Signature

Click to Sign

Electronic Signature Consent*

By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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Agree To This Document