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Hair removal consent form

Please read all information below prior to your hair remoal appointment.

When not to wax:   

*If you are using any topical products containing GLYCOLIC ACID, RENOVA,    RETIN‐A, KENERASE, ACCUTANE OR RETINOL, you may not receive a waxing treatment on the face.    *If you are under 18 years of age, and do not have parental consent.  *If you have had exposure to sun or to tanning beds for 24‐48 hours before waxing .      *If you have had application of sunless tanning, or will be receiving sunless tanning 24 before or after    your waxing service. (Please allow 48 hours for sensitive skin.)      *The skin is usually most sensitive the day’s surrounding a woman’s menstrual cycle. If you have just  begun hormone replacement therapy or are taking antibiotics, you may notice your skin to be more  sensitive. We advise you to avoid waxing until your body adjusts to the medications you are taking.    *Waxing also should not be done if any of the following conditions are present: Varicose veins, sunburned  skin, chapped skin, eczema or new scars. Communicate even the slightest change or concerns you may have before treatment.

*If you are udner a physician/dermatologists care please check with them prior to any hair removal services.

Sensitivity:  Irritation consisting of redness and slight swelling is a very common side effect of waxing and is to be  expected. Some other types of irritation consisting of severe redness and swelling, hives, dry skin patches,  bruising, ingrown hair and sensitivity to touch can occur in clients with more sensitive skin types. Small  red dots often occur after the treatment and could stay for up to 48 hours. This is considered to be  normal on sensitive skin and/or on clients with coarse hair. 

 I, acknowledge that I have read and  understand all the above information and hereby release Luxi Lush and/or employees/owners from any liability for any reaction and/or sensitivity from hair removal services which I may receive  from them.   

 

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
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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