Client Information *

First Name

Last Name

Phone

(###)

###

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Consent & Acknowledgment

By signing this waiver, I acknowledge and agree to the following: I understand that waxing may cause redness, irritation, ingrown hairs, sensitivity, and in rare cases, bruising or skin lifting. I confirm that I have disclosed all medical conditions and medications that may affect my skin’s sensitivity. I understand that waxing is not recommended for skin that has been recently treated with acids, Retin-A, or Accutane. I release the technician and salon from any liability for any skin reactions or conditions that may result from the waxing procedure. I consent to receive waxing services today and in the future under these terms.

Date

MM

DD

YYYY