Full Name:
Date of Birth:
Phone Number:
By signing below, I, the undersigned, confirm the following:
I have provided accurate information about my skin-thinning treatments I am currently using or have used in the past.
I understand that waxing may cause redness, irritation, or sensitivity, and I accept the risks associated with the procedure.
I am aware that waxing is not recommended for individuals using certain skin-thinning products (e.g., Retin-A, Accutane, Tretinoin), and I hereby waive any liability against the technician or establishment if I choose to proceed with waxing despite using
I agree to inform my technician immediately if I begin using any skin-thinning products or treatments in the future.
I understand that I am responsible for any aftercare as advised by my technician, and I acknowledge that failure to follow aftercare instructions may result in skin irritation or complications.