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Waxing and Brightening Consent Form
First Name
Last Name
Email
Phone
Birthday
I give consent to the service provider at Wax Fairy to perform the following services.
I have not used a scrub, Retin-A, Retinol OTC, antibiotics, take home micro-dermabrasion, glycolic peels, other peels, or tanned in the last 2 weeks.
I have been off Accutane for at least twelve (12) months.
Some possible side effects include redness, swelling and pimples, but these are temporary and generally clear up within 72 hours.
For any waxing or brightening in the groin area, I will notify my service provider if I am on my menstrual cycle and follow their instructions on how to prepare prior to my appointment.
I do not have any open skin lesions or active herpes outbreak (cold sore or genital).
I agree to adhere to all safety post care including: no peels, tanning or wet room services; no swimming/spas/hot tubs for 72 hours after waxing; and all home skin care protocols as recommended by my service provider.
No clients under the age of 16 and all minors (under 18) must have parental/legal guarding consent co-signed below.
I will call to inform my service provider of any complications or concerns I may have as soon as they occur.
If I am requesting a Brazilian wax, Brightening Full Face, Brightening Bikini Full + Butt Strip, Brightening Labia Majora and/or Brightening Areolas services, I confirm I am not a minor (under 18).
For Brazilian waxing services, please ensure the hair length is no less than 1/4 inch and no more than 1 inch long. Kindly note, if trimming is required at the time of your appointment, there will be an additional $15 charge.
I confirm that the information given in this form is true.
I understand that with treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur. I freely assume these risks. I give permission to Wax Fairy to perform the waxing procedure(s) and will hold her and her staff harmless from any liability that may result from this treatment.
My signature acknowledges that I have read and agree to receive the services or series of services I have requested listed above and that I will adhere to all of the aforementioned statements that I have checked off.
Client Signature
Clear
Date of Client Signature
Parent/Legal Guardian Signature
Clear
Date of Parent/Legal Guardian Signature
Submit
Thanks for submitting your consent form!
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