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I understand that if I am in any of the below medications or have any of the below conditions that I informed my esthetician prior to hair removal. I am also accepting full responsibility for any skin care reaction. The information that I have provided is true and accurate to the best of my knowledge.

Cancellation Policy

Within 12 hours: 50%

No call, No Show: 100%


 

Date: July 15, 2026 


First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
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 Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Information
Contraindications ` Have you had any of the following medical conditions?
Diabetes
High Blood Pressure
Poor Circulation
Warts
Moles
Psoriasis
Herpes
Eczema
Are you on a blood thinner?*
No
Yes
Are you using Retin A or other retinols?*
No
Yes
Are you taking Accutane?*
No
Yes

Sugaring

When did you last shave? (to the best of your knowledge) !!HAIR NEEDS AT LEAST 2.5 WEEKS OF GROWTH FOR BRAZILIAN SUGARING!!
Have you been waxed?*
No
Yes
If yes, when? (to the best of your knowledge)
Have you ever been sugared?*
No
Yes
If yes when?
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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