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Please answer the following questions below. This form applies to all facial, waxing, and tinting services.

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WAXING + RETINOIDS Those that are using retinoids and products containing Alpha Hydroxy Acid should stop use at least one week prior to their wax appointment. These products make your skin super sensitive which can lead to extreme redness, burns, or even taking skin off. It is important to disclose to your Esthetician any products you are using or if there has been a change in your regimen. 

Are you currently using or have previously used RetinA, Renova, Alpha Hydroxy Acid (AHA) or Retinol/Vitamin A derived products? *
Yes
No
Are you currently taking or have previously taken Accutane? *
Yes
No
Do you have any known allergies? *
Yes
No

POLICIES (ALL POLICIES ON WEBSITE)

4 HOUR CANCELLATION POLICY: CANCELLATIONS OCCURRING WITHIN 4 HOURS OF THE SCHEDULED APPOINTMENT TIME AND NO SHOWS WILL BE CHARGED THE FULL AMOUNT OF THE MISSED SERVICE. 

LATE POLICY: PLEASE ARRIVE ON TIME. IF YOU ARE 10+ MINUTES LATE, WE WILL NOT BE ABLE TO ACCOMMODATE AND YOU BE CHARGED THE FULL AMOUNT OF THE MISSED SERVICE.

CHILDREN POLICY: WE UNDERSTAND CHILDCARE IS NOT ALWAYS ACCESSIBLE HOWEVER, DUE TO SAFETY CONSIDERATIONS AND LIMITED SPACE, CHILDREN ARE NOT PERMITTED IN THE SALON. Click to customize text

To my knowledge, I have no medical condition or allergy that would preclude me from having this procedure done. I take sole responsibility for any reaction I may have. I have been honest and accurate with the information I have provided.
I agree
I have read and completely understand this consent form.
I agree
First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email
A signed copy of this waiver will be sent to the email address you provide.
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*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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